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

Hector Lewis Stanback Jr.

Individual provider Behavior Technician · NPI 1104590009

Hector Lewis Stanback Jr. is a Behavior Technician in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

1452 Knights Trl
Stone Mountain, GA 30083-6200
Phone: (678) 789-4812
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 057756024 (GA)

Record details

NPI number1104590009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address1452 Knights Trl, Stone Mountain, GA 30083-6200

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