Andrew Joel Brooks, RBT
Individual provider Active NPI Behavior Technician · Dallas, GA
NPI 1417818477 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1417818477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-257515 (GA)
- Practice address
- 87 Jeanette St
Dallas, GA 30157-7308 - Phone
- (470) 249-7270
- NPI assigned
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-257515 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-257515 | GA | Yes |
Addresses
Primary practice location
87 Jeanette St
Dallas, GA 30157-7308
Mailing address
87 Jeanette St
Dallas, GA 30157-7308
Phone (470) 249-7270
Other providers in Dallas, GA
- Michelle Briley
- Courtney Brinson Butcher
- Shauna Britt
- Myracle Ah-Mie Brody
- Megan Brogan
- Nicole Brooks
- Sarah Helm Brooks
- Elery Michael Brossett
- Abigail Brown
- Ashari Brown
All providers in Dallas, 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 Nov 19, 2025. 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.