Abbigale Clare Dehart
Individual provider Active NPI Behavior Technician · Soperton, GA
NPI 1548067846 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1548067846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB1182292 (GA)
- Practice address
- 131 Mustang Rd
Soperton, GA 30457-7461 - Phone
- (478) 331-8460
- NPI assigned
- Feb 25, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1182292 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | BACB1182292 | GA | Yes |
Addresses
Primary practice location
131 Mustang Rd
Soperton, GA 30457-7461
Mailing address
131 Mustang Rd
Soperton, GA 30457-7461
Phone (478) 331-8460
Other providers in Soperton, GA
- Care First EMS
- Chit Chat Pediatric Therapy LLC
- Coastal Care Services, Inc.
- Community Service Board of Middle Georgia
- Ernest Wesley Crowe
- Dennard Inc
- Adele Diane Dennard
- Blakely Sutton Dennard
- Richard Jackson Dennard
- Dennards Inc
All providers in Soperton, 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 Feb 25, 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.