Robert Mark Culberson

Individual provider Active NPI Behavior Technician · Sandersville, GA

NPI 1518655760 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1518655760
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
513 Industrial Dr
Sandersville, GA 31082-7008
Phone
(478) 412-8007
NPI assigned
Apr 26, 2023
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

513 Industrial Dr
Sandersville, GA 31082-7008

Mailing address

232 Southland Dr
Eatonton, GA 31024-7005

Other providers in Sandersville, GA

All providers in Sandersville, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.