Most Relevant Information
Provider Data
| NPI Number: | 1003694332 |
| Provider Name: | ANESHIA MAHALIA HERNTON CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Practice Location Phone/Fax
| Phone: | 2069337000 |
| Fax: |
Provider Mailing Location
2801 WASHINGTON RD STE 107
AUGUSTA
GA
309092355
Provider Mailing Phone/Fax
| Phone: | 2536831689 |
| Fax: |