NPIMap

Individual provider Active NPI

Christine Elaine Marrero

  • Behavior Analyst
  • Newnan, GA
National Provider Identifier
1033625280
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-29083 Issued in GA
Practice address
42 Cranford Mill Dr
Newnan, GA 30265-2226
Phone
(718) 810-5315
NPI assigned
Dec 26, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-29083 GA Primary

Addresses

Primary practice location

42 Cranford Mill Dr
Newnan, GA 30265-2226

Mailing address

42 Cranford Mill Dr
Newnan, GA 30265-2226
Phone (718) 810-5315

Other practice location 1

885 Woodstock Rd Ste 430-226
Roswell, GA 30075-2277
Phone (404) 641-4024

Other practice location 2

1155 Hembree Rd Ste 210
Roswell, GA 30076-4635
Phone (770) 992-8534

Other practice location 3

101 Devant St Ste 303
Fayetteville, GA 30214-2714
Phone (404) 585-5439

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Behavior Options Behavior Analyst Past Accepting new patients
Innovative Behavior Options Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033625280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CRANFORD MILL DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652226",
            "telephone_number": "718-810-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CRANFORD MILL DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652226",
            "telephone_number": "718-810-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Woodstock Rd Ste 430-226",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300752277",
            "country_code": "US",
            "telephone_number": "404-641-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Hembree Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764635",
            "country_code": "US",
            "telephone_number": "770-992-8534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Devant St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142714",
            "country_code": "US",
            "telephone_number": "404-585-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "CHRISTINE",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-17-29083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.