Assata Abayomi

Individual provider Active NPI Behavior Technician · Douglasville, GA

NPI 1013844265 · NPPES record last updated May 4, 2026

Key facts

NPI
1013844265
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3820 Willow Ridge Rd
Douglasville, GA 30135-2785
Phone
(954) 225-9946
Fax
(954) 225-9946
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3820 Willow Ridge Rd
Douglasville, GA 30135-2785

Mailing address

3820 Willow Ridge Rd
Douglasville, GA 30135-2785
Phone (954) 225-9946

Other providers in Douglasville, GA

All providers in Douglasville, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.