Active NPI
Innovative Behavior Options
- Behavior Analyst
- Kennesaw, GA
National Provider Identifier
1144610965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- INNOVATIVE BEHAVIOR OPTIONS
- Practice address
- 4617 Patrick Dr NE
Roswell
Kennesaw, GA 30144-1640 - Phone
- (404) 907-5821
- NPI assigned
- Feb 1, 2015
- Last updated
- Feb 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Stone
- Title
- Bcba
- Phone
- (770) 992-8534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
4617 Patrick Dr NE
Roswell
Kennesaw, GA 30144-1640
Mailing address
4617 Patrick Dr NE
Kennesaw, GA 30144-1640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Other | GA | BEHAVIOR ANALYSIS |
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Behavior Options
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Roswell, GA
- NPI 1053559971
-
- Behavior Analyst
- Roswell, GA
- NPI 1073984720
-
- Community/Behavioral Health Agency
- Roswell, GA
- NPI 1265823348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422748800000",
"number": "1144610965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 PATRICK DR NE",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 PATRICK DR NE",
"address_2": "ROSWELL",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441640",
"telephone_number": "404-907-5821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE BEHAVIOR OPTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "770-992-8534"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYSIS",
"identifier": "103K00000X",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
- Indigo Therapy and Wellness
- Celeste Infantino
- June Inn, RPH
- Innervisions Counseling Services LLC
- Innovation Compounding Pharmacy, LLC (Innovation Compounding)
- Innovative Therapy Works LLC.
- Iora Health Georgia, P.C. (One Medical)
- Iora Senior Health, LLC (One Medical)
- Cyrus K Irani, M.D
- Eric Irby, CERT. FIRST ASSIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.