Healthcare Provider Details

I. General information

NPI: 1144167735
Provider Name (Legal Business Name): NAKAILA MOSELY RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 VETERANS PKWY STE 11
COLUMBUS GA
31909-3514
US

IV. Provider business mailing address

6100 VETERANS PKWY STE 11
COLUMBUS GA
31909-3514
US

V. Phone/Fax

Practice location:
  • Phone: 706-221-8966
  • Fax: 706-705-9791
Mailing address:
  • Phone: 706-221-8966
  • Fax: 706-705-9791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: