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NPI Code Detail

MEDICARE: JALIYAH ATKINSON

MEDICARE: JALIYAH ATKINSON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1528673506
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALIYAH ATKINSON
Provider Business Mailing Address
First Line : 1642 POWERS FERRY RD SE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30067-9489
Country : US
Telephone Number : 770-565-3045
Fax Number :
Provider Business Practice Location Address
First Line : 1642 POWERS FERRY RD SE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30067-9489
Country : US
Telephone Number : 770-565-3045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 01/19/2026

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Directions to “ JALIYAH ATKINSON ” Practice Location

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