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NPI 1548935422

NPI 1548935422 : SHAKIRA HILL BCBA : FAYETTEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1548935422
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    Entity Type          |    Individual 
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    Provider Name        |    SHAKIRA HILL BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2021
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    115 HUNTINGTON CT 
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    City                 |    FAYETTEVILLE
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    State                |    GA
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    Zip                  |    30214-4042
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    Country              |    US
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    Telephone            |    706-616-2175
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    Fax                  |    770-892-2029
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Provider Business Mailing Address
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    Address Line         |    939 MALIBU DR 
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    City                 |    LAGRANGE
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    State                |    GA
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    Zip                  |    30240-1766
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    Country              |    US
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    Telephone            |    855-324-0885
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    Fax                  |    317-520-8200
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-21-179868
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    LBA000530
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    License Number State |    GA
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