Cochonda Amey, RBT

Individual provider Active NPI Behavior Technician · Newnan, GA

NPI 1750141933 · NPPES record last updated Mar 22, 2024

Key facts

NPI
1750141933
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-335324 (GA)
Practice address
2083 Newnan Crossing Blvd E
Newnan, GA 30265-2606
Phone
(470) 241-1408
Fax
(317) 520-8200
NPI assigned
Mar 22, 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

State licenses

LicenseStateTypeSpecialty
RBT-24-335324GAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-335324 GA Yes

Addresses

Primary practice location

2083 Newnan Crossing Blvd E
Newnan, GA 30265-2606

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in Newnan, GA

All providers in Newnan, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.