Active NPI
Anna Milligan, BCBA
- Behavior Analyst
- Norcross, GA
National Provider Identifier
1033639778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25672
- Practice address
- 3070 Business Park Dr
Norcross, GA 30071-5404 - Phone
- (770) 884-1050
- NPI assigned
- Jun 23, 2017
- 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 Analyst | 103K00000X | 1-17-25672 | Primary |
Addresses
Primary practice location
3070 Business Park Dr
Norcross, GA 30071-5404
Mailing address
3450 Roxboro Rd NE Apt 4321
Atlanta, GA 30326-1840
Other practice location 1
639 W Grace St Apt 430
Chicago, IL 60613-4039
Phone (330) 704-4684
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": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1033639778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 ROXBORO RD NE APT 4321",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 BUSINESS PARK DR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300715404",
"telephone_number": "770-884-1050"
}
],
"practiceLocations": [
{
"address_1": "639 W Grace St Apt 430",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606134039",
"country_code": "US",
"telephone_number": "330-704-4684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLIGAN",
"first_name": "ANNA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-25672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.