Provider Demographics
NPI:1831982065
Name:WATSON, NITAJAH (RBT)
Entity type:Individual
Prefix:MISS
First Name:NITAJAH
Middle Name:
Last Name:WATSON
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 1:557 W LAKE AVE NW APT 226
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-6516
Mailing Address - Country:US
Mailing Address - Phone:312-925-1824
Mailing Address - Fax:
Practice Address - Street 1:557 W LAKE AVE NW APT 226
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6516
Practice Address - Country:US
Practice Address - Phone:312-925-1824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-25-437648106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician