Active NPI
Ryan Simmons Berry, RBT
- Behavior Technician
- Alpharetta, GA
National Provider Identifier
1174034011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1040 Cambridge SQ Ste a&B
Alpharetta, GA 30009-1800 - Phone
- (470) 751-4642
- NPI assigned
- Oct 18, 2017
- Last updated
- May 13, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
1040 Cambridge SQ Ste a&B
Alpharetta, GA 30009-1800
Mailing address
1040 Cambridge SQ Ste a&B
Alpharetta, GA 30009-1800
Phone (470) 751-4642
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let's Learn Inc | Assistant Behavior Analyst | Past | Accepting new patients |
| Georgia Developmental Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1316223142
-
- Behavior Analyst
- Roswell, GA
- NPI 1124569140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1174034011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 CAMBRIDGE SQ STE A&B",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091800",
"telephone_number": "470-751-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 CAMBRIDGE SQ STE A&B",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091800",
"telephone_number": "470-751-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "RYAN",
"middle_name": "SIMMONS",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-18",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.