Active NPI
Mai X Vu
- Behavior Technician
- Lawrenceville, GA
National Provider Identifier
1255052148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-232895
- Practice address
- 1130 Hurricane Shoals Rd NE Ste 1800
Lawrenceville, GA 30043-4849 - Phone
- (888) 329-4535
- NPI assigned
- Sep 8, 2022
- 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 | RBT-22-232895 | GA | Primary |
Addresses
Primary practice location
1130 Hurricane Shoals Rd NE Ste 1800
Lawrenceville, GA 30043-4849
Mailing address
1876 Beechwood Blvd NW
Gainesville, GA 30504-2606
Phone (678) 662-6963
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 |
|---|---|---|---|
| RBT-22-232895 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1255052148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 BEECHWOOD BLVD NW",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305042606",
"telephone_number": "678-662-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 HURRICANE SHOALS RD NE STE 1800",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434849",
"telephone_number": "888-329-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "MAI",
"middle_name": "X",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-232895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.