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

Hezekiah Tyaun Rose

Individual provider Behavior Technician · NPI 1396600920

Hezekiah Tyaun Rose is a Behavior Technician in Lithia Springs, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

680 Thornton Way
Lithia Springs, GA 30122-2600
Phone: (888) 329-4535
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (GA)

Record details

NPI number1396600920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address3000 Highway 5 Apt 109, Douglasville, GA 30135-6903

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