Ruby Alsobrook
Individual provider Active NPI Behavior Technician · La Fayette, GA
NPI 1215722004 · NPPES record last updated Apr 11, 2025
Key facts
- NPI
- 1215722004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 229 Langley Dr
La Fayette, GA 30728-7413 - Phone
- (423) 260-6103
- NPI assigned
- Apr 11, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
229 Langley Dr
La Fayette, GA 30728-7413
Mailing address
229 Langley Dr
La Fayette, GA 30728-7413
Other providers in La Fayette, GA
- Danielle Durham Acuff
- Amedisys Georgia, LLC
- Judith A Anderson
- Kay Anderson
- Candace Asher
- Beatrice Askew
All providers in La Fayette, 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, 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.