Active NPI
Jennifer Lynne Cole, M.ED
- Behavior Technician
- Atlanta, GA
National Provider Identifier
1255945184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-74018
- Practice address
- 5555 Glenridge Con Suite 200
Atlanta, GA 30342 - Phone
- (470) 361-2000
- NPI assigned
- Sep 8, 2020
- 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 | 18-74018 | GA | Primary |
Addresses
Primary practice location
5555 Glenridge Con Suite 200
Atlanta, GA 30342
Mailing address
2450 Hopehaven Way
Hoschton, GA 30548-7404
Phone (615) 498-1823
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-74018 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1255945184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 HOPEHAVEN WAY",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305487404",
"telephone_number": "615-498-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GLENRIDGE CON SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "470-361-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "18-74018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.