Individual provider Active NPI

Taylor Whitner, BCBA

  • Behavior Analyst
  • Hampton, GA
National Provider Identifier
1053072579
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
I-24-77829
Practice address
990 Bear Creek Blvd
Hampton, GA 30228-1864
Phone
(470) 878-1177
Fax
(470) 878-2946
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 I-24-77829 Primary

Addresses

Primary practice location

990 Bear Creek Blvd
Hampton, GA 30228-1864

Mailing address

308 Christian CT
Hampton, GA 30228-2890
Phone (470) 737-5755

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
Pivotal Behavior ABA, LLC Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1053072579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CHRISTIAN CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282890",
            "telephone_number": "470-737-5755",
            "fax_number": "470-878-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281864",
            "telephone_number": "470-878-1177",
            "fax_number": "470-878-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNER",
        "first_name": "TAYLOR",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "I-24-77829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.