Savannah Baine
Individual provider Active NPI Behavior Technician · Watkinsville, GA
NPI 1962033100 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1962033100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1360 Caduceus Way
Watkinsville, GA 30677-7300 - Phone
- (866) 610-0580
- NPI assigned
- Jan 27, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1360 Caduceus Way
Watkinsville, GA 30677-7300
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-3625
Other providers in Watkinsville, GA
- Sarah Babcock
- Dennis Anthony Bagarozzi Sr.
- Kirsten Baier
- Jana Wilson Bailey
- Jordan Brett Bailey
- Christina Baird
- Matthew Paul Baker
- Laura Grace Balan
- Wendy Bamford
- Charlton Dean Barber
All providers in Watkinsville, 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 Jan 27, 2020. 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.