Individual provider Active NPI

Jazziell Allen

  • Behavior Technician
  • Martinez, GA
National Provider Identifier
1104758515
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
231 Furys Ferry Rd Ste 210
Martinez, GA 30907-4729
Phone
(706) 826-2770
NPI assigned
Jun 1, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn Bohanan Behavioral Consultation, LLC PastSince May 16, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X GA Primary

Addresses

NPPES NPI Registry

Primary practice location

231 Furys Ferry Rd Ste 210
Martinez, GA 30907-4729

Mailing address

1212 Augusta West Pkwy Ste 1B
Augusta, GA 30909-1808
Phone (706) 826-2770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2026.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104758515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY STE 1B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-826-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FURYS FERRY RD STE 210",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074729",
            "telephone_number": "706-826-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAZZIELL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.