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NPI Code Detail

MEDICARE: ASHAUNTAE HUDSON

MEDICARE: ASHAUNTAE HUDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianGA

General Provider Information

NPI Number : 1952249930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHAUNTAE HUDSON
Provider Business Mailing Address
First Line : 5328 LANIER ISLANDS PKWY # 101
Second Line :
City : BUFORD
State : GA
Zip : 30518-9071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5328 LANIER ISLANDS PKWY # 101
Second Line :
City : BUFORD
State : GA
Zip : 30518-9071
Country : US
Telephone Number : 470-655-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ASHAUNTAE HUDSON ” Practice Location

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