Anderson, Reginald Lamont

Anderson, Reginald Lamont is an individual health care provider with primary practice located at 126 Pavilion Pkwy , Fayetteville GA 30214-4056. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Anderson, Reginald Lamont can be contacted via phone (770) 954-8988.

Contact Information

Primary practice address
126 Pavilion Pkwy Fayetteville GA 30214-4056
Phone: (770) 954-8988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-139183 Georgia

Profile Details

NPI number 1154921880
LBN Legal business name Anderson, Reginald Lamont
Credentials RBT, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2020
Last updated Oct 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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