Whalio Doctors

NPI 1548831902

Kanisha Nicole Eberhardt, QASPS

Practitioner Assistant Behavior Analyst Augusta, GA

Practice location

Address
3633 Wheeler Rd STE 320, Augusta, GA 30909-6552
Phone
(706) 842-3279

Registered specialties (2)

Assistant Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 11343
Other Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence RBT-20-119073 (GA)

Registry record

NPI
1548831902
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jul 2021
Record last updated
7 Nov 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.