Active NPI
Samuel Yama Emile Tondreau
- Behavior Technician
- Augusta, GA
National Provider Identifier
1386558245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-2854859
- Practice address
- 4051 Jimmie Dyess Pkwy
Augusta, GA 30909-9469 - Phone
- (706) 640-5832
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-26-2854859 | GA | Primary |
Addresses
Primary practice location
4051 Jimmie Dyess Pkwy
Augusta, GA 30909-9469
Mailing address
1113 Huntington Dr
Augusta, GA 30909-4589
Phone (912) 358-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1386558245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 HUNTINGTON DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309094589",
"telephone_number": "912-358-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 JIMMIE DYESS PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099469",
"telephone_number": "706-640-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONDREAU",
"first_name": "SAMUEL",
"middle_name": "YAMA EMILE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-26-2854859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.