Provider Demographics
NPI:1497485932
Name:TOMONEY, SHARDAY GENE
Entity Type:Individual
Prefix:
First Name:SHARDAY
Middle Name:GENE
Last Name:TOMONEY
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 1:3343 PEACHTREE RD NE
Mailing Address - Street 2:STE 145-2285
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-2701
Mailing Address - Country:US
Mailing Address - Phone:276-663-0598
Mailing Address - Fax:404-726-8190
Practice Address - Street 1:3343 PEACHTREE RD NE STE 145-2285
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1085
Practice Address - Country:US
Practice Address - Phone:276-663-0598
Practice Address - Fax:404-726-8190
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000OtherNONE