Kendyle Alston

Individual provider Active NPI Behavior Technician · Statesboro, GA

NPI 1437858438 · NPPES record last updated Feb 28, 2023

Key facts

NPI
1437858438
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113
Phone
(912) 208-2024
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Past
since Mar 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113

Mailing address

PO Box 663
Lakeland, MI 48143-0663
Phone (734) 203-0181

Other providers in Statesboro, GA

All providers in Statesboro, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.