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Kashia Waterton, RBT

Behavior Technician in Fayetteville, GA. Individual provider (NPI-1).

NPI number1962012195
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1962012195
Entity type
Individual (NPI-1)
Name
Kashia Waterton
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2020
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-19-94447GAYes

Practice location

126 Pavilion Pkwy
Fayetteville, GA 30214-4056

Phone 770-954-8988 · Fax 317-520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Phone 855-324-0885 · Fax 317-520-8200

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