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

Tyrone Portis

Individual provider Behavior Technician · NPI 1790630820

Tyrone Portis is a Behavior Technician in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

3330 Chastain Meadows Pkwy NW
Kennesaw, GA 30144-5881
Phone: (678) 648-7644
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-26-530774 (GA)

Record details

NPI number1790630820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645

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