Dr La'bianca Queshun Champion, is a
Behavior Technician based in Stockbridge, Georgia. Dr La'bianca Queshun Champion is licensed to practice in * (Not Available) (license number ) and her current practice location is
106 Cobblestone Blvd, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 769-8446.
NPI number for Dr La'bianca Queshun Champion is 1457116519 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457116519.
Healthcare Provider's Profile
| Full Name | Dr La'bianca Queshun Champion |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 106 Cobblestone Blvd, Stockbridge, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457116519
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 11/25/2024
Medical Identifiers
Medical identifiers for Dr La'bianca Queshun Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457116519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr La'bianca Queshun Champion is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr La'bianca Queshun Champion,
7108 S Kanner Hwy,
Stuart, FL 34997-7462
Ph: () - | Dr La'bianca Queshun Champion,
106 Cobblestone Blvd,
Stockbridge, GA 30281-7304
Ph: (678) 769-8446 |
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