Brittany Andrews
Individual provider Active NPI Behavior Analyst · Tyrone, GA
NPI 1386313393 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1386313393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-24-77101 (GA)
- Practice address
- 190 Handley Rd Ste C
Tyrone, GA 30290-2178 - Phone
- (678) 850-7906
- NPI assigned
- Sep 13, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-77101 | GA | Yes |
Addresses
Primary practice location
190 Handley Rd Ste C
Tyrone, GA 30290-2178
Mailing address
644 Tallulah TRL
Warner Robins, GA 31088-7625
Phone (478) 225-2179
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 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.