Edmund Aggrey

Individual provider Active NPI Behavior Technician · Athens, GA

NPI 1811544265 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1811544265
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
135 Athens West Pkwy Ste C
Athens, GA 30606-6949
Phone
(404) 480-3842
Fax
(615) 577-5654
NPI assigned
Aug 21, 2019
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

135 Athens West Pkwy Ste C
Athens, GA 30606-6949

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (844) 359-7629

Other providers in Athens, GA

All providers in Athens, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.