Bianca Monique Baltazar
Individual provider Active NPI Behavior Technician · Tyrone, GA
NPI 1538035571 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1538035571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 100 Commerce Dr
Tyrone, GA 30290-8001 - Phone
- (404) 966-3933
- NPI assigned
- Oct 16, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | GA | Yes |
Addresses
Primary practice location
100 Commerce Dr
Tyrone, GA 30290-8001
Mailing address
100 Commerce Dr
Tyrone, GA 30290-8001
Phone (404) 966-3933
Other practice location 1
811 Shirez Dr
Grovetown, GA 30813-2274
Phone (757) 592-3317
Other providers in Tyrone, GA
- Another Alternative, Inc.
- Art of Life Chiropractic LLC
- Charmayne Ashley
- Heaven Lekay Ashworth
- Bahr Holistic Psychiatry LLC
- Peter John Bauth
- Melissa Beckman
- Jeffrey Thomas Benz
- Best Choice Home Healthcare Agency Atlanta
- Suvrat Jagannivas Bhargave
All providers in Tyrone, 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 Oct 16, 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.