Individual provider Active NPI

Irene Rushubirwa Baugh

  • Behavior Technician
  • Sandy Springs, GA
National Provider Identifier
1306472931
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-113759 Issued in GA
Practice address
6849 Peachtree Dunwoody Rd BLDG A1
Sandy Springs, GA 30328-6769
Phone
(678) 691-2206
NPI assigned
Mar 15, 2020
Last updated
Mar 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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 RBT-20-113759 GA Primary

Addresses

Primary practice location

6849 Peachtree Dunwoody Rd BLDG A1
Sandy Springs, GA 30328-6769

Mailing address

555 Cardell Cir SE
Mableton, GA 30126-4602
Phone (770) 906-6564

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL irene@pathwaysbehavior.com

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
RBT-20-113759GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1306472931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CARDELL CIR SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301264602",
            "telephone_number": "770-906-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD BLDG A1",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286769",
            "telephone_number": "678-691-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "IRENE",
        "middle_name": "RUSHUBIRWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-113759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "irene@pathwaysbehavior.com",
            "affiliation": "N",
            "address_1": "6849 Peachtree Dunwoody Rd Bldg A1",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303286769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.