NPIMap

Organization Active NPI

Excellence Noire LLC

  • Behavior Technician
  • Jonesboro, GA
National Provider Identifier
1225728660
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
EXCELLENCE NOIRE LLC
Practice address
100 Carrington Park Apt 2104
Jonesboro, GA 30236-2888
Phone
(607) 346-1321
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darius Cooper, RBTNPI 1164191334
Title
Ceo
Phone
(607) 345-1321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

100 Carrington Park Apt 2104
Jonesboro, GA 30236-2888

Mailing address

100 Carrington Park Apt 2104
Jonesboro, GA 30236-2888
Phone (607) 346-1321

National Provider Directory

National Provider Directory

Locations

100 Carrington Park
Apt 2104
Jonesboro, GA 30236
Phone (607) 346-1321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1225728660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARRINGTON PARK APT 2104",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362888",
            "telephone_number": "607-346-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARRINGTON PARK APT 2104",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362888",
            "telephone_number": "607-346-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE NOIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-345-1321",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.