=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366396962
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TRACEY OUZTS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 478 COLUMBIA INDUSTRIAL BLVD
-----------------------------------------------------
City | EVANS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30809-6127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-437-0505
-----------------------------------------------------
Fax | 706-554-6219
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 14067
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30919-0067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-437-0505
-----------------------------------------------------
Fax | 706-554-6219
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-26-512336
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------