Provider Demographics
NPI:1003532185
Name:GLEATON, ROBBIN DENISE
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:DENISE
Last Name:GLEATON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7275 GLADSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-5508
Mailing Address - Country:US
Mailing Address - Phone:678-559-2766
Mailing Address - Fax:678-874-0710
Practice Address - Street 1:7275 GLADSTONE CIR
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-5508
Practice Address - Country:US
Practice Address - Phone:678-559-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician