Jillian Brooks, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-64451 Issued in GA

Practice address

805 Bedford Park
Peachtree City, GA 30269-2861

Phone

(334) 830-0597

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• The Blair Institute

  • Behavior Analyst
  • Thomasville, AL
  • NPI 1356184766
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1063017309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BEDFORD PARK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BEDFORD PARK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692861",
            "telephone_number": "334-830-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 Ashford Dunwoody Rd.",
            "address_2": "Suite 540 #754",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303385504",
            "country_code": "US",
            "telephone_number": "404-891-6907",
            "fax_number": "855-940-1248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JILLIAN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-64451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian F. Bragassa DMD, LLC
• Lei-Ann Bridges
• Henry B. Briggs III, DMD
• Myra Briggs
• Kayla Nichole Brook, PT
• Mary Imani Brooks, LCSW
• Preston Brooks, HHP
• Robert S Brooks, D.D.S.
• Sharon Wallace Brooks, LCSW
• Emma Brosnan, BCBA

• Behavior Analyst in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.