Rayna Agha, RBT
Individual provider Active NPI Behavior Technician · Roswell, GA
NPI 1780432856 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1780432856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-342057 (GA)
- Practice address
- 1455 Old Alabama Rd Ste 195
Roswell, GA 30076-2129 - Phone
- (678) 940-1367
- Fax
- (317) 520-8200
- NPI assigned
- May 13, 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-342057 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-342057 | GA | Yes |
Addresses
Primary practice location
1455 Old Alabama Rd Ste 195
Roswell, GA 30076-2129
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Roswell, GA
- Aesthetic Specialty Centre, PC
- Afc Physicians of Georgia, PC
- Affordable Mental Health, LLC
- Afw Healthcare Inc
- Agewell Rehab and Fitness, LLC
- Agilitas USA, Inc
- Naheed Ahmad
- Ahmanique Wholeness & Well-Being
- Emoni Aikens
- Fantoya Akins
All providers in Roswell, 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 May 13, 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.