Healthcare Provider Details

I. General information

NPI: 1366115818
Provider Name (Legal Business Name): RASHIDA KING CONE BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N MAIN ST STE 1A
HINESVILLE GA
31313-2562
US

IV. Provider business mailing address

306 N MAIN ST STE 1A
HINESVILLE GA
31313-2562
US

V. Phone/Fax

Practice location:
  • Phone: 912-320-4378
  • Fax: 866-467-4321
Mailing address:
  • Phone: 912-320-4378
  • Fax: 866-467-4321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-24-15295
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-176848
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: