Tiesha Houston
Individual provider Active NPI Behavior Technician · Bowdon, GA
NPI 1720829930 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1720829930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 191 Harvell Dr Apt J2
Bowdon, GA 30108-1361 - Phone
- (470) 990-3185
- NPI assigned
- Jun 3, 2024
- 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
191 Harvell Dr Apt J2
Bowdon, GA 30108-1361
Mailing address
191 Harvell Dr Apt J2
Bowdon, GA 30108-1361
Phone (470) 990-3185
Other providers in Bowdon, GA
- Emily Anna Gibbs
- Michelle Goldbach
- Michael Hanley
- Robert McCants Harris III
- Leigh Anne Hatten
- Julie Kim Hutcheson
- Ashley H Jackson
- Johnson and Entrekin Pharmacy LLC
- Janine Marie Johnston
- Kidspeace National Centers of Georgia, Inc
All providers in Bowdon, 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 Jun 3, 2024. 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.