Individual provider Active NPI

Marina Elea Garcia Mack, BS

  • Behavior Analyst
  • Warner Robins, GA
National Provider Identifier
1114531050
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA000767 Issued in GA
Practice address
225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097
Phone
(800) 832-9419
NPI assigned
Sep 8, 2020
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA000767 GA Primary

Addresses

Primary practice location

225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097

Mailing address

225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097
Phone (800) 832-9419

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
LBA000767GAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge, LLC Behavior Analyst PastSince Sep 13, 2020 Accepting new patients
Hopebridge, LLC Behavior Analyst PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1114531050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITHVILLE CHURCH RD STE 1100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889097",
            "telephone_number": "800-832-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITHVILLE CHURCH RD STE 1100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889097",
            "telephone_number": "800-832-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MARINA",
        "middle_name": "ELEA GARCIA",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.