Active NPI
Adelaide Kate Newberry
- Behavior Technician
- Dunwoody, GA
National Provider Identifier
1013725670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1 Dunwoody Park
Ste 220
Dunwoody, GA 30338-7404 - Phone
- (470) 702-9400
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1 Dunwoody Park
Ste 220
Dunwoody, GA 30338-7404
Mailing address
1 Dunwoody Park Ste 220
Atlanta, GA 30338-7404
Phone (404) 863-3563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1013725670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DUNWOODY PARK STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387404",
"telephone_number": "404-863-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DUNWOODY PARK",
"address_2": "STE 220",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303387404",
"telephone_number": "470-702-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "ADELAIDE",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2025-01-08",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.