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NPI Code Detail

MEDICARE: MAAYAN HEMPHILL RBT

MEDICARE: MAAYAN HEMPHILL RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-435459GA

General Provider Information

NPI Number : 1497687594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAAYAN HEMPHILL RBT
Provider Business Mailing Address
First Line : 2878 CARDINAL TRCE
Second Line :
City : DULUTH
State : GA
Zip : 30096-3980
Country : US
Telephone Number : 404-697-5556
Fax Number :
Provider Business Practice Location Address
First Line : 2878 CARDINAL TRCE
Second Line :
City : DULUTH
State : GA
Zip : 30096-3980
Country : US
Telephone Number : 404-697-5556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ MAAYAN HEMPHILL RBT” Practice Location

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