Brynn Bonner
Individual provider Active NPI Behavior Technician · North Augusta, SC
NPI 1730859299 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1730859299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-185079 (SC)
- Practice address
- 714 Carolina Ave
North Augusta, SC 29841-3434 - Phone
- (706) 842-5330
- Fax
- (706) 842-5340
- NPI assigned
- Sep 16, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-185079 | SC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-185079 | SC | Yes |
Addresses
Primary practice location
714 Carolina Ave
North Augusta, SC 29841-3434
Mailing address
3736 Executive Center Dr
Augusta, GA 30907-2360
Phone (706) 842-5330
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All providers in North Augusta, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. 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.