Heather Gladney

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-54104 Issued in GA

Practice address

225 Millard Farmer Industrial Blvd BLDG B Ste 100
Newnan, GA 30263

Phone

(470) 400-3177

Fax

(470) 241-1131

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Whitaker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1669960837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566755",
            "telephone_number": "904-538-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLARD FARMER INDUSTRIAL BLVD BLDG B STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "470-400-3177",
            "fax_number": "470-241-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-18-54104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WHITAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maurice Benard Gilbert, MD
• Jackson T. Giles, M.D.
• Amanda J Gillis, BCBA
• Matthew J Gimpert, MD
• Ashlee Gipson, RBT, BS
• Kassie Gleeson, FNP-C
• Natalie Shiralia Godbee, D.O.
• Kanu Priya Goel
• Nieva F Goines, NP
• Golden Hands Heaalthcare LLC

• Behavior Technician in Newnan, GA
• Providers in Newnan, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.