Amelia Adams

Individual provider Active NPI Behavior Technician · Pooler, GA

NPI 1609620293 · NPPES record last updated Apr 11, 2024

Key facts

NPI
1609620293
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
100 Commerce CT
Pooler, GA 31322-9445
Phone
(615) 560-6622
NPI assigned
Apr 11, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

100 Commerce CT
Pooler, GA 31322-9445

Mailing address

60 Cassels CT
Hinesville, GA 31313-1194
Phone (912) 320-9458

Other providers in Pooler, GA

All providers in Pooler, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.