NPI 1013786813

Ynessa Pines

Practitioner Behavior Technician Macon, GA

Practice location

Address: 4931 Riverside Dr STE 400a, Macon, GA 31210-1195
Phone: (478) 219-7626
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-261076 (GA)

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Registry record

NPI: 1013786813
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2023
Record last updated: 21 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.