Avian Mildree Craft

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

912 Lovvorn Rd Apt 1131
Carrollton, GA 30117-2648

Phone

(706) 436-9630

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1295431898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 LOVVORN RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172635",
            "telephone_number": "706-436-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 LOVVORN RD APT 1131",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172648",
            "telephone_number": "706-436-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "AVIAN",
        "middle_name": "MILDREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR TECHNICIAN",
            "identifier": "106S00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Tyler Covington
• Vicki Diane Cowart
• Kendell Ranee Coyle
• Cpmsc Carrollton
• Jolyn B Crabb, ACNP
• Christina Craton, P.T.
• Monica Handy Crawford, MD
• Faye Ruth Creel, LPC
• Aimee M Creer, CRNA
• Jack Crews, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.