Provider Demographics
NPI:1811870876
Name:ONEAL, SHARONDA (RBT)
Entity type:Individual
Prefix:
First Name:SHARONDA
Middle Name:
Last Name:ONEAL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:SHARONDA
Other - Middle Name:
Other - Last Name:ONEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:272 GOLDEN OCALA BLVD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31216-7458
Mailing Address - Country:US
Mailing Address - Phone:478-390-1890
Mailing Address - Fax:
Practice Address - Street 1:272 GOLDEN OCALA BLVD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31216-7458
Practice Address - Country:US
Practice Address - Phone:478-390-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054874956106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician