Active NPI
Infinite Sky LLC
- Behavior Analyst
- Dacula, GA
National Provider Identifier
1003687351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- INFINITE SKY LLC
- Practice address
- 104 Green Tree CT
Dacula, GA 30019-1334 - Phone
- (732) 309-7319
- NPI assigned
- Jan 15, 2024
- Last updated
- Jan 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chanel Rogers
- Title
- Owner
- Phone
- (732) 309-7319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
104 Green Tree CT
Dacula, GA 30019-1334
Mailing address
104 Green Tree CT
Dacula, GA 30019-1334
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1700372190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1003687351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 GREEN TREE CT",
"city": "DACULA",
"state": "GA",
"postal_code": "300191334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 GREEN TREE CT",
"city": "DACULA",
"state": "GA",
"postal_code": "300191334",
"telephone_number": "732-309-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITE SKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "CHANEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-309-7319"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.