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

PHANTASHIA SHINE

Active

PHANTASHIA SHINE is a Behavior Technician healthcare provider located in LITHONIA, Georgia. NPI 1780444570 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LITHONIA, GA

Registration Details

NPI Number
1780444570
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2024 (2.4092438176849 yrs)
Last Updated
Mar 20, 2024

Practice Information

Address
6647 CHIRCAHUA DR
LITHONIA, GA, 300383128
Browse GA providers · Browse ZIP 30038
Phone
7707718741
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LITHONIA, GA

Name Credential NPI
LATASHA C WILLIAMS 1548713068
MR. ANTHONY MCCRAY 1154862860
CANDACE WALKER 1447735402
TAWANA DIANE PRUITT MPA, RBT 1497318786
NATIA EASON 1285291278
DARIANNE BROWN ME.D 1942859319
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.