Healthcare Provider Details

I. General information

NPI: 1063359206
Provider Name (Legal Business Name): MIKIYA BROOKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 HANNAH HEIGHTS TRL
HULL GA
30646-3797
US

IV. Provider business mailing address

191 HANNAH HEIGHTS TRL
HULL GA
30646-3797
US

V. Phone/Fax

Practice location:
  • Phone: 706-392-9455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: