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General NPI Number Information
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NPI Number | 1659255693
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Entity Type | Individual
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Provider Name | SHAHO SARDAR SHEIKHA RBT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2329 LAWRENCEVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044
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Country | US
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Telephone | 770-800-0891
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 LEWIS RIDGE CIR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-8899
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Country | US
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Telephone | 678-983-0080
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Fax |
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | RBT-25-455721
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License Number State | GA
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