Shabazz, Abdul
Shabazz, Abdul is an sole proprietor health care provider with primary practice located at 11660 Alpharetta Hwy Ste 320 , Roswell GA 30076-3878. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Shabazz, Abdul can be contacted via phone (678) 608-2543.Contact Information
Primary practice address
11660 Alpharetta Hwy Ste 320
Roswell GA 30076-3878
Phone: (678) 608-2543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1376198424 |
|---|---|
| LBN Legal business name | Shabazz, Abdul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2019 |
| Last updated | Jan 20th, 2021 - about 4 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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