Rachel Bruner
Individual provider Active NPI Behavior Technician · Ringgold, GA
NPI 1043069149 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1043069149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 204 Whippoorwill Way
Ringgold, GA 30736-3182 - Phone
- (423) 488-9970
- NPI assigned
- May 13, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
204 Whippoorwill Way
Ringgold, GA 30736-3182
Mailing address
204 Whippoorwill Way
Ringgold, GA 30736-3182
Phone (423) 488-9970
Other providers in Ringgold, GA
- Jada Bramlett
- Brent Pennington DMD,LLC
- Sherri Lee Brooks
- Amber Brown
- Megan Potts Brown
- Salvador Bruno
- Monica Riley Burdette
- Jacqueline Elizabeth Burgess
- Alexandra Burkich
- Robert A Burkich
All providers in Ringgold, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 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.