Crystal White
Individual provider Active NPI Behavior Technician · Rockmart, GA
NPI 1992562649 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1992562649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 217 Arbor Dr
Rockmart, GA 30153-8236 - Phone
- (678) 326-8613
- NPI assigned
- Feb 29, 2024
- 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
217 Arbor Dr
Rockmart, GA 30153-8236
Mailing address
217 Arbor Dr
Rockmart, GA 30153-8236
Phone (678) 326-8613
Other providers in Rockmart, GA
- Walgreen Co
- Chuan Wang
- Wecare Health and Wellness LLC
- Blayne Coley West
- Maria Westerfield
- Sunny G Wong
- Nicholas Yarbrough
All providers in Rockmart, 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 Feb 29, 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.