NPIMap

Organization Active NPI

Innovative Behavior Options

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1073984720
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-10249 Issued in GA
Legal business name
INNOVATIVE BEHAVIOR OPTIONS
Practice address
885 Woodstock Rd Ste 430226
Roswell, GA 30075-2277
Phone
(770) 992-8530
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Robin Stone
Title
Bcba
Phone
(770) 992-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-10249 GA Primary

Addresses

Primary practice location

885 Woodstock Rd Ste 430226
Roswell, GA 30075-2277

Mailing address

885 Woodstock Rd Ste 430226
Roswell, GA 30075-2277
Phone (770) 992-8530

National Provider Directory

National Provider Directory
Tax ID family
Innovative Behavior Options4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

885 Woodstock Rd
Ste 430226
Roswell, GA 30075
Phone (404) 641-4024

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1073984720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD STE 430226",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "770-992-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD STE 430226",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "770-992-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIOR OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "770-992-8534"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-14-10249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.