Sai Rohit Polakam, RBT
Behavior Technician in Roswell, GA. Individual provider (NPI-1).
NPI number1649936618
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1649936618
- Entity type
- Individual (NPI-1)
- Name
- Sai Rohit Polakam
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1000 Holcomb Woods Pkwy Ste 320Roswell, GA 30076-2587
Phone 770-552-1535
Mailing address
1000 Holcomb Woods Pkwy Ste 320Roswell, GA 30076-2587
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