NPI 1871216002 · live from the CMS NPI Registry
Abby Bannister, BCBA
Behavior Analyst in Rome, GA. National Provider Identifier 1871216002, active.
NPI record
| NPI | 1871216002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 316 W 10th St Ne, Rome, GA 30165 |
| Practice phone | 800-844-1232 |
| Mailing address | 980 County Road 91, Gaylesville, AL 35973 |
| Enumerated | September 22, 2022 |
| Last updated | February 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 0-22-13950 (GA) |
| Behavior Analyst primary | 103K00000X | 1-23-64203 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.