Mary Teresa Gainey, RBT
Behavior Analyst in Brunswick, GA. Individual provider (NPI-1).
NPI number1164046884
StatusActive
Last updated in NPPESAug 26, 2021
Details
- NPI
- 1164046884
- Entity type
- Individual (NPI-1)
- Name
- Mary Teresa Gainey
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2020
- Certification date
- Aug 26, 2021
- Last updated
- Aug 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-51994 | GA | Yes |
| 106S00000X | Behavior Technician | RBT-20-119849 | – |
Practice location
2300 Parkwood DrBrunswick, GA 31520-4719
Phone 912-399-4247 · Fax 912-574-5919
Mailing address
2300 Parkwood DrBrunswick, GA 31520-4719
Phone 912-399-4247 · Fax 912-574-5919
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