Victoria Garner, ED.S, BCBA
Individual provider Active NPI Behavior Analyst · Bremen, GA
NPI 1760880553 · NPPES record last updated Dec 11, 2014
Key facts
- NPI
- 1760880553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-9844 (GA)
- Practice address
- 111 Watson Dr
Bremen, GA 30110-1797 - Phone
- (770) 883-7955
- Fax
- (770) 537-1280
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-14-9844 | GA | Yes |
Addresses
Primary practice location
111 Watson Dr
Bremen, GA 30110-1797
Mailing address
111 Watson Dr
Bremen, GA 30110-1797
Phone (770) 883-7955
Other providers in Bremen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2014. 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.