Andrea Jean Mazariegos
Individual provider Active NPI Behavior Technician · Trenton, GA
NPI 1497582670 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1497582670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1727 Walls Cir
Trenton, GA 30752-5623 - Phone
- (423) 595-9324
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1727 Walls Cir
Trenton, GA 30752-5623
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Trenton, GA
- Lookout Mountain Community Service
- Lookout Mountain Community Services
- Lookout Mountain Community Services
- Lookout Mountain Community Services
- Alfred Dinglasan Lua
- Charles A McDill
- Denis L McDonald
- Memorial Health Partners Foundation Inc
- Rebecca Michaels
- Byron Morey
All providers in Trenton, 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 Sep 19, 2024. 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.