Tanetra Denaye Bowens
Individual provider Active NPI Behavior Technician · Richmond Hill, GA
NPI 1043081698 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1043081698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2451B US Highway 17
Richmond Hill, GA 31324-3397 - Phone
- (515) 560-6622
- NPI assigned
- Jan 12, 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
2451B US Highway 17
Richmond Hill, GA 31324-3397
Mailing address
6140 Jones Rd NW
Riceboro, GA 31323-1514
Phone (912) 230-1720
Other providers in Richmond Hill, GA
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- Justin William Bordlemay
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- Christine Louise Bost
- Ricki Botsford
- Tanner Boyle
- Jessica Lee Bradley
- Kayla Braun
- Shakira Brien
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All providers in Richmond Hill, 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 Jan 12, 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.