Elizabeth Colburn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-276288 Issued in GA

Practice address

306 N Main St Ste 1a
Hinesville, GA 31313-2562

Phone

(912) 256-5799

Fax

(866) 467-4321

NPI assigned

May 31, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum of Hope

  • Behavior Analyst
  • Hinesville, GA
  • NPI 1346709961
  NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1235822701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST STE 1A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132562",
            "telephone_number": "912-256-5799",
            "fax_number": "866-467-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST STE 1A",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132562",
            "telephone_number": "912-256-5799",
            "fax_number": "866-467-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-23-276288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Pharmacy, Inc.
• Coastal Physicians Alliance, LP
• Shacari Cobb
• Wanda Lea Cochran
• Rebecca Leah Coefield-Floyd, M.D.
• Taneika Latoya Coleman, DNP, APRN, FNP-C
• Andrea M Colin Mena
• Natalie Alexandria Collins-Graffree
• Kimberly Nicole Colon
• Kimberly Colvin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.