Quianna Wadley
Individual provider Active NPI Behavior Technician · Waynesboro, GA
NPI 1881473486 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1881473486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-299308 (GA)
- Practice address
- 727 W 6TH St
Waynesboro, GA 30830-4407 - Phone
- (706) 437-0505
- Fax
- (706) 554-6219
- NPI assigned
- Sep 25, 2023
- 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-23-299308 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-299308 | GA | Yes |
Addresses
Primary practice location
727 W 6TH St
Waynesboro, GA 30830-4407
Mailing address
PO Box 1066
Waynesboro, GA 30830-2066
Phone (706) 437-0505
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All providers in Waynesboro, 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 Sep 25, 2023. 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.