Active NPI
Talithacumi Hodrick, RBT
- Behavior Technician
- Dallas, GA
National Provider Identifier
1184487688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-324987
- Practice address
- 296 Merchants SQ
Dallas, GA 30132-5029 - Phone
- (470) 391-2300
- Fax
- (470) 592-6581
- NPI assigned
- Feb 6, 2024
- 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-24-324987 | GA | Primary |
Addresses
Primary practice location
296 Merchants SQ
Dallas, GA 30132-5029
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (866) 610-0580
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-24-324987 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1184487688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 SAN FELIPE ST STE 990",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631708",
"telephone_number": "866-610-0580",
"fax_number": "866-611-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 MERCHANTS SQ",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325029",
"telephone_number": "470-391-2300",
"fax_number": "470-592-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODRICK",
"first_name": "TALITHACUMI",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-24-324987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.