Active NPI
Kimberly Paige Yarbrough
- Behavior Technician
- McDonough, GA
National Provider Identifier
1124994223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-473589
- Practice address
- 3500 Loop Rd Ste C2
McDonough, GA 30253-3141 - Phone
- (470) 333-0558
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-473589 | GA | Primary |
Addresses
Primary practice location
3500 Loop Rd Ste C2
McDonough, GA 30253-3141
Mailing address
21 Hazel St
Porterdale, GA 30014-1992
Other names 1
- Kimberly Paige Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-473589 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1124994223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAZEL ST",
"city": "PORTERDALE",
"state": "GA",
"postal_code": "300141992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 LOOP RD STE C2",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533141",
"telephone_number": "470-333-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBROUGH",
"first_name": "KIMBERLY",
"middle_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-25-473589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "JOHNSON",
"middle_name": "PAIGE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.