Victoria Lecroy, BCBA
Individual provider Active NPI Behavior Analyst · Royston, GA
NPI 1194512285 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1194512285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 613 Cook St
Royston, GA 30662-3933 - Phone
- (706) 491-5409
- NPI assigned
- Apr 22, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Star Therapy Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
613 Cook St
Royston, GA 30662-3933
Mailing address
120 Gurley Rd
Bowersville, GA 30516-2518
Other providers in Royston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. 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.