Leslie Elizabeth Kendrick
Individual provider Active NPI Behavior Technician · Chickamauga, GA
NPI 1043078025 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1043078025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 224 Blue Bird Gap Rd
Chickamauga, GA 30707-4729 - Phone
- (423) 413-0726
- NPI assigned
- Mar 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
224 Blue Bird Gap Rd
Chickamauga, GA 30707-4729
Mailing address
224 Blue Bird Gap Rd
Chickamauga, GA 30707-4729
Phone (423) 413-0726
Other providers in Chickamauga, GA
- Lori Kristen Haney
- Jennifer Elizabeth Holdaway
- Hutcheson Primary Care, LLC
- Maureen Irvin
- Leslie Jackson Carbine
- Jason David Lacy
- Karen Leanne Ledford
- Janis C Lewis
- Lookout Mountain Community Service
- Lookout Mountain Community Service
All providers in Chickamauga, 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 Mar 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.