Provider Demographics
NPI:1679469506
Name:HUGHES, TASKER (RBT)
Entity type:Individual
Prefix:
First Name:TASKER
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 BEMISS RD STE Q
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1450
Mailing Address - Country:US
Mailing Address - Phone:229-809-0893
Mailing Address - Fax:
Practice Address - Street 1:2601 BEMISS RD STE Q
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1450
Practice Address - Country:US
Practice Address - Phone:229-809-0893
Practice Address - Fax:888-843-2534
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-25-445192106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician