Active NPI
Videsha Marya
- Behavior Analyst
- Alpharetta, GA
National Provider Identifier
1043611080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16344
- Practice address
- 11316 Musette Cir
Alpharetta, GA 30009-2127 - Phone
- (918) 852-4042
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-14-16344 | GA | Primary |
Addresses
Primary practice location
11316 Musette Cir
Alpharetta, GA 30009-2127
Mailing address
11316 Musette Cir
Alpharetta, GA 30009-2127
Phone (918) 852-4042
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": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1043611080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11316 MUSETTE CIR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092127",
"telephone_number": "918-852-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11316 MUSETTE CIR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092127",
"telephone_number": "918-852-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYA",
"first_name": "VIDESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-14-16344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.