Active NPI
Celia Garcia
- Behavior Analyst
- Roswell, GA
National Provider Identifier
1194499400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12472146
- Practice address
- 1875 Old Alabama Rd Ste 1110
Roswell, GA 30076-2269 - Phone
- (770) 556-6055
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 12472146 | GA | Primary |
Addresses
Primary practice location
1875 Old Alabama Rd Ste 1110
Roswell, GA 30076-2269
Mailing address
205 Pattie Dr
Warner Robins, GA 31088-4554
Phone (478) 334-1764
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 |
|---|---|---|---|
| 12472146 | GA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1194499400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PATTIE DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310884554",
"telephone_number": "478-334-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 OLD ALABAMA RD STE 1110",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762269",
"telephone_number": "770-556-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "CELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "12472146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.