NPIMap

Organization Active NPI

Bolling Behavioral Consulting

  • Behavior Analyst
  • Decatur, GA
National Provider Identifier
1164067310
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BOLLING BEHAVIORAL CONSULTING
Practice address
2766 Da Vinci Blvd
Decatur, GA 30034-3116
Phone
(404) 804-7235
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Ms. Ryan BollingNPI 1326694084
Title
Owner
Phone
(404) 804-7235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2766 Da Vinci Blvd
Decatur, GA 30034-3116

Mailing address

2766 Da Vinci Blvd
Decatur, GA 30034-3116
Phone (404) 804-7235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1164067310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 DA VINCI BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343116",
            "telephone_number": "404-804-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 DA VINCI BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343116",
            "telephone_number": "404-804-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLLING BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-804-7235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.