Search › Georgia › 103K00000X
Jennifer Vanta, BCBA
NPI 1205573722 · on the registry since 2022
Practice
- Address
- 4115 Columbia Rd
Suite 5
Martinez, GA 30907 - Phone
- (402) 850-3586
- Organisation at this address
- On-The-Case
The Kroger Co
Randy Georgemiller, Ph.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 4106 Columbia Rd Ste 101, Augusta, GA
- 1237 Augusta West Pkwy, Augusta, GA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-21
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