Provider Demographics
NPI:1558116871
Name:DOOBAY, ARIELLE J
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:J
Last Name:DOOBAY
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 1:4225 GOOSECROSS CT
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-9924
Mailing Address - Country:US
Mailing Address - Phone:678-683-7069
Mailing Address - Fax:
Practice Address - Street 1:4225 GOOSECROSS CT
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-9924
Practice Address - Country:US
Practice Address - Phone:678-683-7069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician