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OCTAVIA HEAD RBT
NPI 1316543036
Clinic/Center in Mcdonough, GA

Active since December 08, 2020
382 RACETRACK RD, MCDONOUGH, GA 30252(678) 691-2206 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Octavia Head Rbt NPPES

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

OCTAVIA HEAD RBT (NPI 1316543036) is an individual clinic/center provider in Mcdonough, Georgia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1316543036
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameOCTAVIA HEADCredential: RBT
Location Address382 RACETRACK RDMcdonough, GA 30252-1022
Mailing Address754 Pine Needle RdHampton, GA 30228-1544 · (404) 957-1698
Phone(678) 691-2206
Sole ProprietorYes
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1316543036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
382 RACETRACK RD, Mcdonough, GA 30252
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAJA BROTHERS RBT
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
MR. NATHANIEL J MOORE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
MCKENZIE WASHINGTON DODSON M. ED., CCC-SLP
Speech-Language Pathologist
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 205-5437
RYAN PATRICK MURTHA CCC-SLP
Speech-Language Pathologist
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 205-5437
KIMBERLY SHARPE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
ZEKE ORAZI WALSH
Behavior Analyst
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
DANIELLE HURDLE
Behavior Technician
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (678) 691-2206
SHANICE NICOLE DICKERSON
Behavior Analyst
382 RACETRACK RD
MCDONOUGH, GA 30252
Henry County (912) 548-9944

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 Octavia Head's NPI number?

The NPI number for Octavia Head is 1316543036. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Octavia Head located?

Octavia Head practices at 382 Racetrack Rd, Mcdonough, GA 30252. The listed phone number is (678) 691-2206.

What is Octavia Head's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Octavia Head was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.