Mishaya Bivins, RBT
Individual provider Active NPI Behavior Technician · Tyrone, GA
NPI 1285349449 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1285349449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-224891 (GA)
- Practice address
- 190 Handley Rd
Tyrone, GA 30290-2178 - Phone
- (678) 904-7053
- NPI assigned
- Jan 20, 2023
- 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-22-224891 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-224891 | GA | Yes |
Addresses
Primary practice location
190 Handley Rd
Tyrone, GA 30290-2178
Mailing address
190 Handley Rd
Tyrone, GA 30290-2178
Phone (678) 904-7053
Other providers in Tyrone, GA
- Peter John Bauth
- Melissa Beckman
- Jeffrey Thomas Benz
- Best Choice Home Healthcare Agency Atlanta
- Suvrat Jagannivas Bhargave
- Joy Theresa Blumberg
- Born Educators Academy
- Robin Celeste Boullion
- Sykie Bradwell
- Baylee Bramlett
All providers in Tyrone, 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 Jan 20, 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.