Schaquetta Marie Neely, RBT
Individual provider Active NPI Behavior Technician · Ailey, GA
NPI 1295569820 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1295569820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 24-366137 (GA)
- Practice address
- 2476 US Highway 280
Ailey, GA 30410-3538 - Phone
- (404) 924-6220
- NPI assigned
- Aug 27, 2024
- 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 |
|---|---|---|---|
| 24-366137 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Postive Behavior Support Corp | Behavior Technician | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24-366137 | GA | Yes |
Addresses
Primary practice location
2476 US Highway 280
Ailey, GA 30410-3538
Mailing address
5500 Forest Place
Lot 145
Macon, GA 31206
Phone (478) 320-3776
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 Aug 27, 2024. 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.