Eberhardt, Kanisha Nicole

Eberhardt, Kanisha Nicole is an individual health care provider with primary practice located at 3633 Wheeler Rd Ste 320 , Augusta GA 30909-6552. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Eberhardt, Kanisha Nicole can be contacted via phone (706) 842-3279.

Contact Information

Primary practice address
3633 Wheeler Rd Ste 320 Augusta GA 30909-6552
Phone: (706) 842-3279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT-20-119073 Georgia
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 11343

Profile Details

NPI number 1548831902
LBN Legal business name Eberhardt, Kanisha Nicole
Credentials QASP-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Nov 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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