Anthony Lionel Garrison
Individual provider Active NPI Behavior Technician · Vidalia, LA
NPI 1568068658 · NPPES record last updated Dec 5, 2020
Key facts
- NPI
- 1568068658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1810 Carter St
Vidalia, LA 71373-3115 - Phone
- (318) 336-4797
- Fax
- (318) 336-4799
- NPI assigned
- Dec 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About You Adult and Youth Services, LLC | Current | Accepting new patients |
Locations
1810 Carter St
Vidalia, LA 71373
Phone (318) 336-4051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1810 Carter St
Vidalia, LA 71373-3115
Mailing address
PO Box 537
Ferriday, LA 71334-0537
Phone (318) 336-4797
Other providers in Vidalia, LA
- Zacki Fletcher
- Rebecca Arthur Foster
- Myrna Shannekia Franklin
- April Frost
- Breanna Ciera Frye
- Camesha Goings
- Jessica Green
- Stephoneikka Wilshee Green
- Tonika Green
- William Jarrod Gregg
All providers in Vidalia, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2020. 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.