Jana Gills
Individual provider Active NPI Behavior Technician · Tyrone, GA
NPI 1295516045 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1295516045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-302522 (GA)
- Practice address
- 1135 Senoia Rd
Tyrone, GA 30290-1625 - Phone
- (770) 626-3044
- NPI assigned
- Oct 9, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-302522 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside ABA LLC | Current |
Accepting new patients |
Locations
1135 Senoia Rd
Tyrone, GA 30290
Phone (770) 626-3044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-302522 | GA | Yes |
Addresses
Primary practice location
1135 Senoia Rd
Tyrone, GA 30290-1625
Mailing address
1135 Senoia Rd
Tyrone, GA 30290-1625
Phone (770) 626-3044
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- Georgia CVS Pharmacy, L.L.C.
- Georgia Dental Professionals, PC
- Georgia Integrative Medicine
- Georgia Rheumatology Clinic PC
- Debra J Gray
- Nekeia Gray
- Gray'S Autism Center LLC
- Greencastle Dental
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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 Oct 9, 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.