Provider Demographics
NPI:1346863669
Name:TURNER, SANDRANELLA LYNN
Entity Type:Individual
Prefix:
First Name:SANDRANELLA
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FAIRBURN RD SW APT H68
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-1966
Mailing Address - Country:US
Mailing Address - Phone:678-974-9503
Mailing Address - Fax:
Practice Address - Street 1:400 FAIRBURN RD SW APT H68
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-1966
Practice Address - Country:US
Practice Address - Phone:678-974-9503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician