MEDICARE: ANTOINETTE WHITE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1295686491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE WHITE

Provider Business Mailing Address
First Line	:	2450 MARTIN RD STE 100
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-1018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 740780
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-0780
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1447102447 — CAILAH CRAIG
Practice Location Address:

PO BOX 740780
ATLANTA, GA
30374-0780

Practice Phone: 855-223-7123
Practice Fax: 855-223-7123

1154273159 — KATRINA AYALA
Practice Location Address:

PO BOX 740780
ATLANTA, GA
30374-0780

Practice Phone: 855-223-7123
Practice Fax: 855-223-7123

1609650613 — KRISTY NGUYEN
Practice Location Address:

PO BOX 740780
ATLANTA, GA
30374-0780

Practice Phone: 855-223-7123
Practice Fax:

1023851334 — MAITE REECE MA, PSYD
Practice Location Address:

PO BOX 748465
ATLANTA, GA
30374-8465

Practice Phone: 855-284-7483
Practice Fax: 617-807-0958

1205143153 — CASSANDRA MARTINEZ
Practice Location Address:

PO BOX 746878
ATLANTA, GA
30374-6878

Practice Phone: 866-277-9071
Practice Fax:

1922399484 — MRS. TIFFANY M. AFFLALO-WILLIAMS LPC
Practice Location Address:

PO BOX 748465
ATLANTA, GA
30374-8465

Practice Phone: 855-284-7483
Practice Fax: 617-807-0958

Directions to “ ANTOINETTE WHITE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.