Lucy Anderson, RBT

Individual provider Active NPI Behavior Technician · Acworth, GA

NPI 1124833546 · NPPES record last updated Feb 12, 2025

Key facts

NPI
1124833546
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6371 Seymour PL NW
Acworth, GA 30101-8063
Phone
(770) 508-0686
NPI assigned
Feb 12, 2025
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
ABA Success Current
since Feb 23, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6371 Seymour PL NW
Acworth, GA 30101-8063

Mailing address

6371 Seymour PL NW
Acworth, GA 30101-8063

Other providers in Acworth, GA

All providers in Acworth, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.