Individual provider Active NPI

Samuel Yama Emile Tondreau

  • Behavior Technician
  • Augusta, GA
National Provider Identifier
1386558245
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-2854859 Issued in GA
Practice address
4051 Jimmie Dyess Pkwy
Augusta, GA 30909-9469
Phone
(706) 640-5832
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.