Johnna Galloway
Individual provider Active NPI Behavior Technician · Guyton, GA
NPI 1720780836 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1720780836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 767 Kolic Helmey Rd
Guyton, GA 31312-6217 - Phone
- (912) 728-3801
- NPI assigned
- Mar 21, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
767 Kolic Helmey Rd
Guyton, GA 31312-6217
Mailing address
177 Magnolia Dr
Pooler, GA 31322-4116
Other providers in Guyton, GA
- Jada Eugene
- Hollyanne Nicole Foster
- Sinolla M Freeman
- Michele Lehtma Frost
- Benedicta Fynn
- Ricky Steven Garland
- Gloria Crenshaw Gaskin
- Laura Gilman
- Gold Cross Medical Transport LLC
- Lamica Grant
All providers in Guyton, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.