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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HECTOR LEWIS STANBACK JR.

Active Sole Proprietor

HECTOR LEWIS STANBACK JR. is a Behavior Technician healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1104590009 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STONE MOUNTAIN, GA

Registration Details

NPI Number
1104590009
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2021 (5.030306041157 yrs)
Last Updated
Aug 4, 2021
License
057756024 (GA)
Sole Proprietor
Yes

Practice Information

Address
1452 KNIGHTS TRL
STONE MOUNTAIN, GA, 300836200
Browse GA providers · Browse ZIP 30083
Phone
6787894812
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in STONE MOUNTAIN, GA

Name Credential NPI
GOLDIE LEWIS 1639737893
PATREA BOUIE 1356902662
MS. STEPHANIE CLAIRE SAULSBURY RBT 1356987234
MIRANDA STURDIVANT 1437773975
STACY D WITHERSPOON 1417575507
ALYSSA TONEY 1760083802
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.