NPI 1043886815

Sergio Nunez, RBT

Practitioner Behavior Technician Douglasville, GA

Practice location

Address: 9559 Highway 5 STE 601, Douglasville, GA 30135-1572
Phone: (470) 632-5276
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-21-169906 (GA)

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Registry record

NPI: 1043886815
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2021
Record last updated: 2 Jun 2021

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.