Active NPI
Fred J Umunnakwe, REGISTERED BEHAVIOR
- Behavior Technician
- Atlanta, GA
National Provider Identifier
1164225850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-264262
- Practice address
- 3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323 - Phone
- (404) 487-6005
- Fax
- (678) 831-3005
- NPI assigned
- Mar 29, 2025
- Sex
- Male
- 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-23-264262 | GA | Primary |
Addresses
Primary practice location
3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323
Mailing address
2370 Greythorne CMNS
Douglasville, GA 30135-8103
Phone (404) 819-4992
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-23-264262 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Talents ABA | Current | Accepting new patients | |
| Qualicare of Georgia, Inc | Current | Accepting new patients | |
| Hidden Talents ABA NC LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Douglasville, GA
- NPI 1336490283
-
- Behavior Analyst
- Atlanta, GA
- NPI 1003436684
-
- Community/Behavioral Health Agency
- Mooresville, NC
- NPI 1588434104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743206400000",
"number": "1164225850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 GREYTHORNE CMNS",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301358103",
"telephone_number": "404-819-4992",
"fax_number": "404-819-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 NORTHEAST EXPY NE STE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415323",
"telephone_number": "404-487-6005",
"fax_number": "678-831-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMUNNAKWE",
"first_name": "FRED",
"middle_name": "J",
"credential": "REGISTERED BEHAVIOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-29",
"last_updated": "2025-03-29",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-23-264262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.