Provider Demographics
NPI:1124830807
Name:BILLINGS, ANDREW (RBT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 BUCK DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6649
Mailing Address - Country:US
Mailing Address - Phone:302-632-5233
Mailing Address - Fax:
Practice Address - Street 1:28 E MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1483
Practice Address - Country:US
Practice Address - Phone:302-389-8521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE739181106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician