Active NPI
Nicole Scott
- Behavior Technician
- Clarkston, GA
National Provider Identifier
1164199824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-179094
- Practice address
- 1606 Post Oak Dr Apt G
Clarkston, GA 30021-3188 - Phone
- (770) 572-9093
- NPI assigned
- Aug 30, 2021
- Last updated
- Aug 30, 2021
- 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-21-179094 | GA | Primary |
Addresses
Primary practice location
1606 Post Oak Dr Apt G
Clarkston, GA 30021-3188
Mailing address
1606 Post Oak Dr Apt G
Clarkston, GA 30021-3188
Phone (770) 572-9093
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-21-179094 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1164199824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 POST OAK DR APT G",
"city": "CLARKSTON",
"state": "GA",
"postal_code": "300213188",
"telephone_number": "770-572-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 POST OAK DR APT G",
"city": "CLARKSTON",
"state": "GA",
"postal_code": "300213188",
"telephone_number": "770-572-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-21-179094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, GA
- Nida Rupani, F.N.P-C
- Safe Non-Emergency Transportation Inc. (Safe Emergency Medical Services)
- Rebekah Schicker, RN, NP-C
- Scooter Chair Repair Georgia, LLC
- Kelly Scott
- Brittany Elizabeth Sims, MSW
- Dallas James Smith
- Veronica Smith, M.S.
- Fariba Sohrabi, DNP
- Spectrix Metaphysical Institute, LTD. Co. (Spectrix)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.