Nicholas Alexander Augustus
Individual provider Active NPI Behavior Technician · Acworth, GA
NPI 1386328375 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1386328375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8940 - Phone
- (470) 531-0510
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8940
Mailing address
3662 Cedarcrest Rd Ste 220
Acworth, GA 30101-8940
Phone (470) 531-0510
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All providers in Acworth, 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 Jun 12, 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.