Stehanie Butler

Individual provider Active NPI Behavior Technician · Saint Marys, GA

NPI 1629640263 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1629640263
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
69 Lindsey LN Ste B
Saint Marys, GA 31558-1702
Phone
(912) 266-8686
NPI assigned
Jul 13, 2021
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

69 Lindsey LN Ste B
Saint Marys, GA 31558-1702

Mailing address

69 Lindsey LN Ste B
Saint Marys, GA 31558-1702
Phone (912) 266-8686

Other providers in Saint Marys, GA

All providers in Saint Marys, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.