Kruti Dilip Pandya, MBBS, MPH, RBT
Individual provider Active NPI Behavior Technician · Auburn, GA
NPI 1801523964 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1801523964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-217334 (GA)
- Practice address
- 63 Creekside Bluff Way
Auburn, GA 30011-4508 - Phone
- (304) 290-3776
- NPI assigned
- Aug 8, 2022
- 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-22-217334 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-217334 | GA | Yes |
Addresses
Primary practice location
63 Creekside Bluff Way
Auburn, GA 30011-4508
Mailing address
63 Creekside Bluff Way
Auburn, GA 30011-4508
Phone (304) 290-3776
Other providers in Auburn, GA
- Medicine Wheel Clinic - Winder
- Midtown Surgical Associates,Inc
- Monserrat Corp
- Franklin Theadore Olson III
- Blessing Omoerah
- Kaushik Patel
- Patrick H Stephens DMD PC
- Lillian Danae Pedraza
- Christina Shersteen Resulma
- Jayoung Ryu
All providers in Auburn, 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 Aug 8, 2022. 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.