Tyneasha Fountain

NPI 1124998679 · on the registry since 2025

Practice

Address: 1155 Concord Rd Se Ste 220
Smyrna, GA 30080
Phone: (470) 666-2550
Organisation at this address: Agilitas Usa, Inc
Florida Autism Center
Wellstreet Of Georgia Pc
Wellstreet Of Georgia Pc
Innovative Infusions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 65

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia