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General NPI Number Information
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NPI Number | 1952223604
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Entity Type | Individual
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Provider Name | ISAARIAH ARQUAL VENEE ROYAL RBT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 3993 LAWRENCEVILLE HWY NW STE 110
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City | LILBURN
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State | GA
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Zip | 30047-2831
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Country | US
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Telephone | 404-905-5663
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Fax |
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Provider Business Mailing Address
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Address Line | 990 PEACHTREE INDUSTRIAL BLVD UNIT 1043
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City | SUWANEE
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State | GA
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Zip | 30024-5210
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-445219
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License Number State | GA
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