Demetrius King

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7316 Spout Springs Rd Ste 103
Flowery Branch, GA 30542-5671

Phone

(888) 805-0759

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1023880739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 EAGLE CLOSE LN",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 SPOUT SPRINGS RD STE 103",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425671",
            "telephone_number": "888-805-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEMETRIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kilman, CST/CSFA
• Hana Kim
• Hyun Soo Kim, PHARM.D.
• Won Hee Kim
• Renee D. Kimball, M.D.
• Harold Dwayne King, A.T.C
• Lori Jill Klink, SLP
• Andrew Kneeburg
• Rupal Kothari
• Kelsey Krier, DC

• Behavior Technician in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.