ROBIN CELESTE BOULLION NPI 1558951848

Behavior Technician in Tyrone, GA

NPI 1558951848 Individual Female Behavior Technician

About ROBIN BOULLION

Robin Boullion is a provider established in Tyrone, Georgia and her medical specialization is behavior technician. The NPI number of Robin Boullion is 1558951848 and was assigned on January 2021. The practitioner's primary taxonomy code is 106S00000X with license number RBT-21-152493 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

Robin Boullion is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1558951848

Provider Name ROBIN CELESTE BOULLION
Provider Location Address1135 SENOIA RD TYRONE, GA 30290
Provider Mailing Address1135 SENOIA RD TYRONE, GA 30290
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-21-2021
Last Update Date01-21-2021


Primary Taxonomy

Taxonomy Code106S00000X
ClassificationBehavior Technician
TypeBehavioral Health & Social Service Providers
License No.RBT-21-152493
License StateGA
Taxonomy DescriptionThe 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.

Business Address

ROBIN CELESTE BOULLION
1135 SENOIA RD
TYRONE, GA
ZIP 30290
Phone: (770) 626-3044

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Mailing Address

ROBIN CELESTE BOULLION
1135 SENOIA RD
TYRONE, GA
ZIP 30290
Phone: (770) 626-3044



Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134759608SOUTHSIDE ABA LLC
Organization
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1417576992 TIFFANY MICHELE TRAUTNER
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1043830136 KERSTIN ELIZABETH POWELL
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1811517915 JESSICA ELAINE WASHINGTON
Individual
Behavior Technician1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1053931154 VIRGINA PONTON SACK MS
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1104446202 MELANIE STREET HARPER
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-0444
1184256133MS. DARLA JUNE PFLIGER BCBA
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044
1578183570 HILARY ANN LEAHY
Individual
Behavior Analyst1135 SENOIA RD
TYRONE, GA 30290
(770) 626-3044

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.