ANTONESHA LATRICE YOUNGBLOOD
NPI 1114710795
Behavior Technician in Stockbridge, GA

Active since May 27, 2025
7249 MOUNTAIN LAUREL WAY, STOCKBRIDGE, GA 30281(404) 397-8773 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonesha Latrice Youngblood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONESHA LATRICE YOUNGBLOOD (NPI 1114710795) is an individual behavior technician in Stockbridge, Georgia and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1114710795
Entity TypeIndividual
Primary Taxonomy106S00000X
Provider Legal NameANTONESHA LATRICE YOUNGBLOOD
Location Address7249 MOUNTAIN LAUREL WAYStockbridge, GA 30281-9312
Mailing Address7249 Mountain Laurel WayStockbridge, GA 30281-9312 · (404) 397-8773
Sole ProprietorYes
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1114710795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
7249 MOUNTAIN LAUREL WAY, Stockbridge, GA 30281

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonesha Youngblood's NPI number?

The NPI number for Antonesha Youngblood is 1114710795. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Antonesha Youngblood located?

Antonesha Youngblood practices at 7249 Mountain Laurel Way, Stockbridge, GA 30281. The listed phone number is (404) 397-8773.

What is Antonesha Youngblood's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Antonesha Youngblood was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.