Individual provider Active NPI

Dortheiya Darneila Evans Cook, RBT

  • Behavior Technician
  • Jonesboro, GA
National Provider Identifier
1285583914
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB952571 Issued in GA
Practice address
1287 Ga-138 Spur Suites 11 & 12,
Jonesboro, GA 30238
Phone
(470) 883-2810
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB952571 GA Primary

Addresses

Primary practice location

1287 Ga-138 Spur Suites 11 & 12,
Jonesboro, GA 30238

Mailing address

659 Redland Dr
Jonesboro, GA 30238-4381
Phone (678) 698-3306

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

LicenseStateTypeSpecialty
BACB952571GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285583914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 REDLAND DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384381",
            "telephone_number": "678-698-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 GA-138 SPUR SUITES 11 & 12,",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30238",
            "telephone_number": "470-883-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS COOK",
        "first_name": "DORTHEIYA",
        "middle_name": "DARNEILA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB952571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.