Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrica Shavonta Anderson

Individual provider Behavior Technician · NPI 1124700976

Derrica Shavonta Anderson is a Behavior Technician in Midland, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

7730 Lynch Rd
Midland, GA 31820
Phone: (912) 385-4648
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-268815 (GA)

Record details

NPI number1124700976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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