Nacondria Makisa Troupe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

30 Parsonage St
MC Rae, GA 31055-4560

Phone

(912) 307-0906

NPI assigned

May 8, 2026

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1104753433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARSONAGE ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310554560",
            "telephone_number": "912-307-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARSONAGE ST",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310554560",
            "telephone_number": "912-307-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2476 US Highway 280",
            "address_purpose": "LOCATION",
            "city": "Ailey",
            "state": "GA",
            "postal_code": "304103538",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUPE",
        "first_name": "NACONDRIA",
        "middle_name": "MAKISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in MC Rae, GA
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.