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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIYANIE CHAQUEZ FEDRICK

Active Sole Proprietor

KIYANIE CHAQUEZ FEDRICK is a Behavior Technician healthcare provider located in MARIETTA, Georgia. NPI 1043929755 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MARIETTA, GA

Registration Details

NPI Number
1043929755
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2022 (3.7418068856987 yrs)
Last Updated
Nov 21, 2022
Sole Proprietor
Yes

Practice Information

Address
1519 JOHNSON FERRY RD BLDG 10
MARIETTA, GA, 300626409
Browse GA providers · Browse ZIP 30062
Phone
8665234268
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MARIETTA, GA

Name Credential NPI
WANJIKU KIHANYA 1568998813
BAILEY JOY LOOMIS 1750888467
BRITTANY LEE BARTLETT RBT 1679061543
MR. CHARLES D ONEAL 1558856583
ESTER VODOVOZ 1104311158
KAJAL K SHAH 1639663669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.