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

Madison Blose, RBT

Individual provider Behavior Technician · NPI 1205714995

Madison Blose, RBT is a Behavior Technician in Newnan, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

2959 Ga 154 Bldg C Ste D
Newnan, GA 30265
Phone: (770) 370-7792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 247 Lamb Rd, Moreland, GA 30259-2639 — (770) 301-5120

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-463990 (GA)

Record details

NPI number1205714995
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address247 Lamb Rd, Moreland, GA 30259-2639

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