Conner S Bailey

Individual provider Active NPI Behavior Technician · Richmond Hill, GA

NPI 1407500523 · NPPES record last updated Feb 8, 2022

Key facts

NPI
1407500523
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2451B US Highway 17
Richmond Hill, GA 31324-3397
Phone
(912) 312-7409
NPI assigned
Feb 8, 2022
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2451B US Highway 17
Richmond Hill, GA 31324-3397

Mailing address

2451B US Highway 17
Richmond Hill, GA 31324-3397
Phone (912) 312-7409

Other providers in Richmond Hill, GA

All providers in Richmond Hill, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.