Alexander Callocchio

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-139167 Issued in GA

Practice address

225 Millard Farmer Ind Blvd Ste 100
Newnan, GA 30263-3168

Phone

(904) 538-0713

Fax

(904) 538-0714

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1275130528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566755",
            "telephone_number": "904-538-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLARD FARMER IND BLVD STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302633168",
            "telephone_number": "904-538-0713",
            "fax_number": "904-538-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOCCHIO",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-139167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & B Corporation
• Luis Mariano Cabrera Hernandez, MD
• Wanda S Cager, LAPC
• Brent Nicolas Calder, RPH, PHARMD
• Kefevion Caldwell, RBT
• Fatima Chantella Cameron, NP
• Alexandra Victoria Camp, PA
• Gary L Campbell II, CRNA
• Kimberly M Campbell, ARNP
• Michelle Campbell, M.T.

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

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

Verify at the official NPI Registry.