Rebecca Lindberg, RBT
Individual provider Active NPI Behavior Technician · Ailey, GA
NPI 1174303804 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1174303804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB1011523 (GA)
- Practice address
- 2476 US Highway 280
Ailey, GA 30410-3538 - Phone
- (855) 832-6727
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| BACB1011523 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1011523 | GA | Yes |
Addresses
Primary practice location
2476 US Highway 280
Ailey, GA 30410-3538
Mailing address
PO Box 406
Waynesboro, GA 30830-0406
Other providers in Ailey, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. 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.