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

TAWANA DIANE PRUITT, MPA, RBT

Active Sole Proprietor

TAWANA DIANE PRUITT, MPA, RBT is a Behavior Technician healthcare provider located in LITHONIA, Georgia. NPI 1497318786 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LITHONIA, GA

Registration Details

NPI Number
1497318786
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2019 (7.277960978513 yrs)
Last Updated
Aug 16, 2020
Licenses
CN0030006144 (GA)
RBT-18-62026 (GA)
Sole Proprietor
Yes

Practice Information

Address
2193 RAVEN CIR
LITHONIA, GA, 300581845
Browse GA providers · Browse ZIP 30058
Phone
6785880605
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in LITHONIA, GA

Name Credential NPI
LATASHA C WILLIAMS 1548713068
MR. ANTHONY MCCRAY 1154862860
CANDACE WALKER 1447735402
NATIA EASON 1285291278
DARIANNE BROWN ME.D 1942859319
AMARI TANAY JOHNSON 1730786799
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.