Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Individual

Organization Behavior Technician · NPI 1831927524

Individual provides Behavior Technician services in Marietta, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

750 Franklin Gtwy SE Apt 21B750
Marietta, GA 30067-7807
Phone: (334) 739-3557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1831927524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mirian Brenick — Behavior Technician · (334) 739-3557
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address750 Franklin Gtwy Se Apt 21b, Marietta, GA 30067-7810

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