Active NPI
Joyce Marlene Smith
- Behavior Technician
- Marietta, GA
National Provider Identifier
1073220711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1519 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6410 - Phone
- (866) 523-4268
- NPI assigned
- Nov 2, 2022
- 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 Technician | 106S00000X | GA | Primary |
Addresses
Primary practice location
1519 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6410
Mailing address
503 Creekside Cir Apt 503
Austell, GA 30168-8309
Phone (214) 624-2557
Other practice location 1
Dept La 22763
Pasadena, CA 91185-0001
Phone (866) 523-4268
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": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1073220711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CREEKSIDE CIR APT 503",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301688309",
"telephone_number": "214-624-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 JOHNSON FERRY RD STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626410",
"telephone_number": "866-523-4268"
}
],
"practiceLocations": [
{
"address_1": "Dept La 22763",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911850001",
"country_code": "US",
"telephone_number": "866-523-4268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JOYCE",
"middle_name": "MARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.