Westin Bobadilla
Individual provider Active NPI Assistant Behavior Analyst · Martinez, GA
NPI 1013737204 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1013737204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 4115 Columbia Rd Ste 5
Martinez, GA 30907-0410 - Phone
- (856) 359-5614
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
4115 Columbia Rd Ste 5
Martinez, GA 30907-0410
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Martinez, GA
- Jervis Blanding
- Michael W Blaney
- Blessed Hands Wellness Spa LLC
- Melissa Blue
- Cameo Blundstone
- Edward H Boland
- Linda Elizabeth Bolt
- Zaniya Bond
- Kimberly Dawn Booker
- Elizabeth Boswell
All providers in Martinez, GA · Assistant Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.