Individual provider Active NPI

Vanessa Harlos-Palmer

  • Behavior Technician
  • Savannah, GA
National Provider Identifier
1073164109
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-99178 Issued in GA
Practice address
143 Sugar Mill Cir
Savannah, GA 31419-9431
Phone
(912) 785-9027
Fax
(877) 515-6711
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-99178 GA Primary

Addresses

Primary practice location

143 Sugar Mill Cir
Savannah, GA 31419-9431

Mailing address

PO Box 253
Skillman, NJ 08558-0253
Phone (912) 785-9027

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

State licenses

LicenseStateTypeSpecialty
RBT-19-99178GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Behavior Technician PastSince Sep 25, 2019 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, 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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1073164109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085580253",
            "telephone_number": "912-785-9027",
            "fax_number": "877-515-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SUGAR MILL CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199431",
            "telephone_number": "912-785-9027",
            "fax_number": "877-515-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOS-PALMER",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-99178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.