Camden Reece Jolly

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23-280238 Issued in GA

Practice address

1715 Friendship Cir
Cumming, GA 30028-6917

Phone

(770) 240-0163

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joy Therapy and Learning Center LLC

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1891280921
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1013692516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 PIN OAK PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158539",
            "telephone_number": "678-620-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286917",
            "telephone_number": "770-240-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "CAMDEN",
        "middle_name": "REECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "23-280238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Johns, D.C
• Brandi Nicole Johnson, PA-C
• Halle Johnson
• Kevin Johnston, RPH
• Robert M Joiner, DDS
• Jonathan Woolfson, MD PC
• Amorette Inez Jones, LMFT, APC, NCC
• Barry Neill Jones, MD
• Brian Kenneth Jones, M.ED
• Brooke A Jones, PSYD

• Behavior Technician in Cumming, GA
• Providers in Cumming, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.