Active NPI
Pamela Walker
- Behavior Technician
- Savannah, GA
National Provider Identifier
1255898219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-79023
- Practice address
- 613 Stephenson Ave Ste 206
Savannah, GA 31405-5841 - Phone
- (912) 349-2479
- Fax
- (615) 577-5654
- NPI assigned
- Feb 26, 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 | 19-79023 | GA | Primary |
Addresses
Primary practice location
613 Stephenson Ave Ste 206
Savannah, GA 31405-5841
Mailing address
1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (844) 359-7629
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 |
|---|---|---|---|
| 19-79023 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1255898219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 702",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172679",
"telephone_number": "844-359-7629",
"fax_number": "615-577-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 STEPHENSON AVE STE 206",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055841",
"telephone_number": "912-349-2479",
"fax_number": "615-577-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "19-79023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.