MEDICARE: LINDSEY ATKINSON RBT, BCBA

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	RBT-21-164237	GA
2	103K00000X	Behavior Analyst	1-25-82990	GA

General Provider Information

NPI Number	:	1871173666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY ATKINSON RBT, BCBA

Provider Business Mailing Address
First Line	:	1083 FOREST HEIGHTS RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-2417
Country	:	US
Telephone Number	:	404-716-0839
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 FOREST HEIGHTS RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-2417
Country	:	US
Telephone Number	:	404-716-0839
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	07/29/2025

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