NPIMap

Organization Active NPI

Prime Behavior Analysts, LLC

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1003216789
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2608 Issued in FL
Legal business name
PRIME BEHAVIOR ANALYSTS, LLC
Practice address
376 Powder Springs St
Suite 130
Marietta, GA 30064-3454
Phone
(404) 695-3596
Fax
(404) 935-5335
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meaghan Timko, BCBANPI 1508095589
Title
Behavior Analyst/Owner
Phone
(404) 695-3596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-05-2608 FL Primary

Addresses

Primary practice location

376 Powder Springs St
Suite 130
Marietta, GA 30064-3454

Mailing address

PO Box 126
Marietta, GA 30061-0126
Phone (404) 695-3596

National Provider Directory

National Provider Directory

Locations

376 Powder Springs St
Ste 130
Marietta, GA 30064
Phone (404) 695-3596

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1003216789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300610126",
            "telephone_number": "404-695-3596",
            "fax_number": "404-935-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 POWDER SPRINGS ST",
            "address_2": "SUITE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643454",
            "telephone_number": "404-695-3596",
            "fax_number": "404-935-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME BEHAVIOR ANALYSTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "TIMKO",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "404-695-3596",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-05-2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.