IndividualActive
Tashai Brantley
NPI 1457968729 · Technician/Technologist · Duluth, GA
Provider details
- NPI number
- 1457968729
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
3655 Howell Ferry Rd Ste 400
Duluth, GA 30096-3186
Phone: (770) 373-5822
Fax: (248) 712-4381
Approximate (ZIP-level) locationGet directions
Mailing address
3655 Howell Ferry Rd Ste 400
Duluth, GA 30096-3186
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.