Provider Demographics
NPI:1558255943
Name:VARNER, GENEASA (RBT)
Entity type:Individual
Prefix:
First Name:GENEASA
Middle Name:
Last Name:VARNER
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 1:3457 THORNDIKE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2574
Mailing Address - Country:US
Mailing Address - Phone:336-686-4474
Mailing Address - Fax:
Practice Address - Street 1:3457 THORNDIKE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2574
Practice Address - Country:US
Practice Address - Phone:336-686-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician