Russell, Shantashia Nikijah
Russell, Shantashia Nikijah is an individual health care provider with primary practice located at 3484 Lachlan Dr , Snellville GA 30078-6001. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Shantashia Nikijah can be contacted via phone (678) 939-7839.Contact Information
Primary practice address
3484 Lachlan Dr
Snellville GA 30078-6001
Phone: (678) 939-7839
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1427725605 |
|---|---|
| LBN Legal business name | Russell, Shantashia Nikijah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2021 |
| Last updated | Aug 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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