Christina Becham

Individual provider Active NPI Behavior Technician · Pooler, GA

NPI 1679296958 · NPPES record last updated Sep 22, 2022

Key facts

NPI
1679296958
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-236038 (GA)
Practice address
1000 Towne Center Blvd
Pooler, GA 31322-4052
Phone
(706) 842-5330
Fax
(706) 842-5340
NPI assigned
Sep 22, 2022
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

State licenses

LicenseStateTypeSpecialty
RBT-22-236038GAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-236038 GA Yes

Addresses

Primary practice location

1000 Towne Center Blvd
Pooler, GA 31322-4052

Mailing address

525 8TH St
P.O. Box 2567
Augusta, GA 30901-9998
Phone (706) 842-5330

Other providers in Pooler, GA

All providers in Pooler, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.