Keona Bussey
Individual provider Active NPI Behavior Technician · Lakeland, GA
NPI 1720848880 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1720848880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 32 W Main St
Lakeland, GA 31635-6835 - Phone
- (800) 832-9419
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral & Developmental Consultants LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
32 W Main St
Lakeland, GA 31635-6835
Mailing address
3121 N Oak Street Ext
Valdosta, GA 31602-1099
Phone (800) 832-9419
Other providers in Lakeland, GA
- Joseph Clyde Brogdon
- Ann Brownell
- Bruce Herrington MD PC
- Katelyn Victoria Brummett
- Burch Discount Drugs Inc
- Eric A Castor
- Melanie Renee Christian
- Charles Coates II
- Laura Coley Croft
- Georgina Cullen
All providers in Lakeland, 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 19, 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.