Tamia Allen

Individual provider Active NPI Behavior Technician · Pooler, GA

NPI 1710868641 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1710868641
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
105 Grand Central Blvd Ste 101
Pooler, GA 31322-4146
Phone
(912) 244-3305
NPI assigned
Sep 9, 2025
Sex
Unspecified or another gender identity
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 GA Yes

Addresses

Primary practice location

105 Grand Central Blvd Ste 101
Pooler, GA 31322-4146

Mailing address

105 Grand Central Blvd Ste 101
Pooler, GA 31322-4146

Other providers in Pooler, GA

All providers in Pooler, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.