Healthcare Provider Details

I. General information

NPI: 1922769611
Provider Name (Legal Business Name): MAJESTY MALIK PARSON M.A, RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 GREENBRIER WAY
CANTON GA
30114-5742
US

IV. Provider business mailing address

198 GREENBRIER WAY
CANTON GA
30114-5742
US

V. Phone/Fax

Practice location:
  • Phone: 470-829-4542
  • Fax:
Mailing address:
  • Phone: 470-829-4542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: