Individual provider · Type 1 NPI

Madison Blose, RBT

Behavior Technician · Newnan, GA

NPI number 1205714995 Active

Practice location

2959 Ga 154, Building C, Suite D
Newnan, GA 30265

Mailing address

247 Lamb Rd
Moreland, GA 30259-2639

Other practice locations

  • 247 Lamb Rd, Moreland, GA 30259-2639 · (770) 301-5120

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-463990 (GA)

Behavior Technician: 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…

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About NPI 1205714995

Madison Blose, RBT's National Provider Identifier is 1205714995, issued on Aug 22, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Newnan, GA. The record was last updated on Sep 4, 2025.