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NPI Code Detail

MEDICARE: RAJESWARI PONNUSAMY

MEDICARE: RAJESWARI PONNUSAMY
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 Technician

General Provider Information

NPI Number : 1801737036
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJESWARI PONNUSAMY
Provider Business Mailing Address
First Line : 5328 LANIER ISLANDS PKWY UNIT 101
Second Line :
City : BUFORD
State : GA
Zip : 30518-9071
Country : US
Telephone Number : 470-655-1970
Fax Number :
Provider Business Practice Location Address
First Line : 5328 LANIER ISLANDS PKWY UNIT 101
Second Line :
City : BUFORD
State : GA
Zip : 30518-9071
Country : US
Telephone Number : 470-655-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “ RAJESWARI PONNUSAMY ” 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.

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