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NPI Code Detail

MEDICARE: ASHAKI FELIX RBT

MEDICARE: ASHAKI FELIX 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
1103K00000XBehavior Analyst
2101YP2500XProfessional CounselorLPC016288GA

General Provider Information

NPI Number : 1619587631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHAKI FELIX RBT
Provider Business Mailing Address
First Line : 205 BOND DR
Second Line :
City : ELLENWOOD
State : GA
Zip : 30294-2521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 757-292-4774
Fax Number : 757-215-2863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2020
Last Update Date : 03/05/2026

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Directions to “ ASHAKI FELIX RBT” Practice Location

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