Paul Micah Friddle, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4255

Phone

(470) 666-2550

Fax

(470) 509-4895

NPI assigned

Jul 24, 2010

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

Practice roles

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.

• Florida Autism Center

  dba Fusion Autism Center

  • Behavior Analyst
  • Smyrna, GA
  • NPI 1508425836
  NPD (past)

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1083927602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580",
            "fax_number": "407-588-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CONCORD RD SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804255",
            "telephone_number": "470-666-2550",
            "fax_number": "470-509-4895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3662 Cedarcrest Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018940",
            "country_code": "US",
            "telephone_number": "470-531-0510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIDDLE",
        "first_name": "PAUL",
        "middle_name": "MICAH",
        "name_prefix": "Mr.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-24",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Vanlandingham Fountain, CCC-SLP
• Tyneasha Fountain
• Andrea Ann Marie Francis, PH.D., LPC
• Candace Amber Frazier, P.T., D.P.T
• Aynastee Monae Frederick
• Melina Friedman, O.D.
• Jessie D Gall, MS, RD, LD
• Rebecca Clegg Galla, LPC
• Cherie Gallant, DC
• Daniel Andres Galvez, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.