Healthcare Provider Details

I. General information

NPI: 1437079365
Provider Name (Legal Business Name): NOAH BURCH RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 13TH ST STE D
COLUMBUS GA
31901-2246
US

IV. Provider business mailing address

2840 WARM SPRINGS RD APT 30
COLUMBUS GA
31904-5450
US

V. Phone/Fax

Practice location:
  • Phone: 888-963-2228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: