Trish Barron

Individual provider Active NPI Behavior Technician · Richmond Hill, GA

NPI 1043886567 · NPPES record last updated Jun 3, 2021

Key facts

NPI
1043886567
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10 Long Creek LN
Richmond Hill, GA 31324-8601
Phone
(904) 638-6388
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Nocal Behavioral Services LLC Past
since Jun 6, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10 Long Creek LN
Richmond Hill, GA 31324-8601

Mailing address

130 Corridor Road
Unit 3929
Ponte Vedra, FL 32004-7833

Other providers in Richmond Hill, GA

All providers in Richmond Hill, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.