Kingz Court Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KINGZ COURT AUTISM CENTER

Practice address

190 Sunderland Cir
Fayetteville, GA 30215-5253

Phone

(609) 501-6730

NPI assigned

Feb 25, 2021

Organization subpart

Yes

Parent organization

KINGZ COURT LLCAs reported in NPPES

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

Authorized official

Name

Jeromy Jerell KingNPI 1881248326

Title

Ceo

Phone

(609) 501-6730

Specialties & licenses 1

Addresses

Part of

Kingz Court Autism Center

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeromy Jerell King

  • Behavior Technician
  • Peachtree City, GA
  • NPI 1881248326
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1083208458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SUNDERLAND CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155253",
            "telephone_number": "609-501-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SUNDERLAND CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155253",
            "telephone_number": "609-501-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGZ COURT AUTISM CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGZ COURT LLC",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_middle_name": "JERELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-501-6730"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaija King, RBT
• Dale L King, LCSW
• Jasmane King, RBT
• Melody Sunderland King, LCSW
• Vanessa King, CST, CPC-A
• Amanda C. Kinley, PT
• Jaquavious Kinsey, RBT
• Meghan Kirby, PA-C
• Mackenzie Anna Kirchner, PA
• Linda S Kirkman, NP

• Behavior Analyst in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.