Charlotte Adhiambo, RBT
Individual provider Active NPI Behavior Technician · Suwanee, GA
NPI 1356933170 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1356933170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-154287 (GA)
- Practice address
- 4000 Smithtown Rd Ste 200
Suwanee, GA 30024-6560 - Phone
- (470) 632-4990
- Fax
- (317) 520-8200
- NPI assigned
- Feb 4, 2021
- 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-21-154287 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-154287 | GA | Yes |
Addresses
Primary practice location
4000 Smithtown Rd Ste 200
Suwanee, GA 30024-6560
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Suwanee, GA
- Leslie Adams
- Margaret Adams
- William A Adams
- Alexis Adeojo
- Samson Adewale
- Adult Services of Gwinnett
- Advance Care Medical Georgia, Inc.
- Advance Care Medical PCP Georgia, Inc.
- Advance Laparoscopic Surgery Institute, Inc.
- Advanced Family Eyecare
All providers in Suwanee, 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 Feb 4, 2021. 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.