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

Laquashia Shawntell Wider, BT

Individual provider Behavior Technician · NPI 1992513105

Laquashia Shawntell Wider, BT is a Behavior Technician in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

120 Berkley Pl
Fayetteville, GA 30214-3720
Phone: (404) 662-9116
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 number1992513105
Entity typeIndividual (Type 1)
GenderFemale
Credentials BT
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

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