Provider Demographics
NPI:1861956781
Name:STURN, LADONNA MARIE (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:MS
First Name:LADONNA
Middle Name:MARIE
Last Name:STURN
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 ENNIS AVE
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-1861
Mailing Address - Country:US
Mailing Address - Phone:478-957-1474
Mailing Address - Fax:
Practice Address - Street 1:1313 ENNIS AVE
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-1861
Practice Address - Country:US
Practice Address - Phone:478-957-1474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program