Provider Demographics
NPI:1376302000
Name:SATELE, NALEISHA-ANN KEALOHILANI
Entity Type:Individual
Prefix:
First Name:NALEISHA-ANN
Middle Name:KEALOHILANI
Last Name:SATELE
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 1:5012 BURLING MILL DR
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3748
Mailing Address - Country:US
Mailing Address - Phone:470-722-4870
Mailing Address - Fax:
Practice Address - Street 1:5012 BURLING MILL DR
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-3748
Practice Address - Country:US
Practice Address - Phone:470-722-4870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician