Healthcare Provider Details

I. General information

NPI: 1710824099
Provider Name (Legal Business Name): CAMERON GREER RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 DOUBLE CHURCHES RD
COLUMBUS GA
31909-2742
US

IV. Provider business mailing address

6700 RIVER RD APT 9210
COLUMBUS GA
31904-2754
US

V. Phone/Fax

Practice location:
  • Phone: 706-507-9178
  • Fax: 706-660-1146
Mailing address:
  • Phone: 706-507-9178
  • Fax: 706-660-1146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-534386
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: