Eunice Alvarran

Individual provider Active NPI Behavior Technician · Canton, GA

NPI 1427762004 · NPPES record last updated Jan 9, 2023

Key facts

NPI
1427762004
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
500 Whitney Way
Canton, GA 30114-5859
Phone
(706) 537-2224
NPI assigned
Jan 9, 2023
Sex
Female
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 GA Yes

Addresses

Primary practice location

500 Whitney Way
Canton, GA 30114-5859

Mailing address

500 Whitney Way
Canton, GA 30114-5859
Phone (706) 537-2224

Other identifiers

IdentifierTypeStateIssuer
NONEOtherGANONE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ealvarra@students.kennesaw.edu Direct

Other providers in Canton, GA

All providers in Canton, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.