Deshun Grove
Individual provider Active NPI Behavior Technician · Hoschton, GA
NPI 1922830306 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1922830306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 902 Michigan Cir
Hoschton, GA 30548-5559 - Phone
- (770) 337-1645
- NPI assigned
- Aug 15, 2024
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
902 Michigan Cir
Hoschton, GA 30548-5559
Mailing address
902 Michigan Cir
Hoschton, GA 30548-5559
Phone (770) 337-1645
Other providers in Hoschton, GA
- Karen Gildemeyer
- Delcontee Glekiah
- Global Outreach Medical and Behavioral LLC
- Angela Michelle Green
- Patricia Lacey Griffeth
- Guardian Angels Private Home Care Services LLC
- William Guest
- Jordan Gulbranson
- Deborah Gunnin
- Whitney Nicole Hall
All providers in Hoschton, 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 15, 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.