Active NPI
Shari Ann Herzberg, RBT
- Behavior Technician
- Evans, GA
National Provider Identifier
1235775313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1135 Waltons Pass
Evans, GA 30809-8250 - Phone
- (904) 505-0382
- NPI assigned
- Nov 23, 2019
- 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 | Primary |
Addresses
Primary practice location
1135 Waltons Pass
Evans, GA 30809-8250
Mailing address
1135 Waltons Pass
Evans, GA 30809-8250
Phone (706) 951-0176
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574467200000",
"number": "1235775313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 WALTONS PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308098250",
"telephone_number": "706-951-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 WALTONS PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308098250",
"telephone_number": "904-505-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZBERG",
"first_name": "SHARI",
"middle_name": "ANN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-23",
"last_updated": "2019-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.