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NPI 1528636495 · Behavior Technician · Smyrna, GA
Provider details
- NPI number
- 1528636495
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1155 Concord Rd Se Ste 220
Smyrna, GA 30080-4234
Phone: (470) 666-2550
Fax: (470) 509-4895
Approximate (ZIP-level) locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2021-06-16
- Certified
- 2021-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.