Healthcare Provider Details

I. General information

NPI: 1831002849
Provider Name (Legal Business Name): LANATHYA LAFOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE 240
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

1950 HOWELL MILL RD NW
ATLANTA GA
30318-2737
US

V. Phone/Fax

Practice location:
  • Phone: 877-272-8501
  • Fax:
Mailing address:
  • Phone: 877-272-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-546005
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: