Elvira Jazmin Arevalo

Individual provider Active NPI Behavior Technician · Buford, GA

NPI 1699484246 · NPPES record last updated Nov 22, 2022

Key facts

NPI
1699484246
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5328 Lanier Islands Pkwy
Buford, GA 30518-9071
Phone
(470) 655-1970
NPI assigned
Nov 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5328 Lanier Islands Pkwy
Buford, GA 30518-9071

Mailing address

5328 Lanier Islands Pkwy
Buford, GA 30518-9071
Phone (470) 655-1970

Other providers in Buford, GA

All providers in Buford, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.