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NPI Code Detail

MEDICARE: MARIA RADOMSKI

MEDICARE:   MARIA  RADOMSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-465524GA

General Provider Information

NPI Number : 1285566026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA RADOMSKI
Provider Business Mailing Address
First Line : 3343 PEACHTREE RD NE STE 145-1219
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1085
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7413 WHITESVILLE RD STE 600
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3231
Country : US
Telephone Number : 317-572-5315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MARIA RADOMSKI ” Practice Location

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