Healthcare Provider Details

I. General information

NPI: 1467380253
Provider Name (Legal Business Name): SHERIEKA ANGLIN RBT, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY ANGLIN RBT, BCBA

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BULLSBORO DR STE A
NEWNAN GA
30263-1412
US

IV. Provider business mailing address

PO BOX 1144
SHARPSBURG GA
30277-0964
US

V. Phone/Fax

Practice location:
  • Phone: 800-309-0770
  • Fax: 800-309-0770
Mailing address:
  • Phone: 800-309-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB1542781
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1542781
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: