Elizabeth Mignon Berry, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-101822 Issued in GA

Practice address

187 Howell Dr SW
Atlanta, GA 30331-4022

Phone

(404) 447-7921

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1235764382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HOWELL DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314022",
            "telephone_number": "404-447-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HOWELL DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314022",
            "telephone_number": "404-447-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELIZABETH",
        "middle_name": "MIGNON",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-101822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LizMignon2323@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "187 Howell Dr SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303314022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrienne Berry, LPC
• Amanda Ellen Berry, MSN, RN, ACNP
• Arnold J Berry, MD
• Currell Vance Berry, M.D.
• Drake Thomas Berry
• Julia Pendergrast Berry, NP-C
• Kecia Marshall Berry, PMHNP-BC
• Nadiyah Berry
• Rashelle Berry, RDN
• Samuel J Berry, RN

• Behavior Technician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.