MEDICARE: REBECCA LAMONT

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1477973238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA LAMONT

Provider Business Mailing Address
First Line	:	5350 DUNWOODY CLUB CRK
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30360-1362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2472 JETT FERRY RD STE 400-197
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-3059
Country	:	US
Telephone Number	:	678-691-2206
Fax Number	:	404-393-3133

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	03/18/2021

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Directions to “ REBECCA LAMONT ” Practice Location

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