Individual provider Active NPI

Julie Maddock Escarcega, MS, BCBA

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1134560550
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13954 Issued in GA
Practice address
1489 Owenby Dr
Marietta, GA 30066-6375
Phone
(678) 480-8119
NPI assigned
Jul 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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 1-13-13954 GA Primary

Addresses

Primary practice location

1489 Owenby Dr
Marietta, GA 30066-6375

Mailing address

1489 Owenby Dr
Marietta, GA 30066-6375
Phone (678) 480-8119

Other practice location 1

1155 Hembree Rd Ste 210
Roswell, GA 30076-4635
Phone (770) 250-0093

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1134560550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 OWENBY DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666375",
            "telephone_number": "678-480-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 OWENBY DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666375",
            "telephone_number": "678-480-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Hembree Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764635",
            "country_code": "US",
            "telephone_number": "770-250-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCARCEGA",
        "first_name": "JULIE",
        "middle_name": "MADDOCK",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-14",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-13-13954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.