Larina Noelle Bongard, BS, RBT Valid NPI
Individual provider · Behavior Technician · Lithonia, GA
- NPI
- 1982204467
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-20-135627 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-10-26
- Last updated
- 2023-07-24
Practice location
5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842
(470) 361-2976