Heather Lynn Bodrey
Individual provider Active NPI Behavior Technician · Midland, GA
NPI 1104679711 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1104679711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-329303 (GA)
- Practice address
- 7330 Lynch Rd
Midland, GA 31820-4010 - Phone
- (478) 391-1298
- NPI assigned
- Apr 11, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-329303 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-329303 | GA | Yes |
Addresses
Primary practice location
7330 Lynch Rd
Midland, GA 31820-4010
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Midland, GA
- Jennifer Alexander
- Derrica Shavonta Anderson
- Cynthia Dianne Avera
- Sydney Nicole Bakken
- Samantha Carol Bell
- Nancy Kathryn Brooks
- Robert Harold Brown
- Karon Bush
- Valeria Capers
- Nancy Embry Cardin
All providers in Midland, 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 Apr 11, 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.