Active NPI
Hope Elen Callis, BCBA
- Behavior Analyst
- Marietta, GA
National Provider Identifier
1316454713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000609
- Practice address
- 40 Dodd St SE Ste 700
Marietta, GA 30060-2512 - Phone
- (704) 703-8588
- NPI assigned
- Jan 7, 2018
- Last updated
- Sep 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000609 | AZ | Primary |
| Behavior Technician | 106S00000X | RBT-17-33152 | IN |
Addresses
Primary practice location
40 Dodd St SE Ste 700
Marietta, GA 30060-2512
Mailing address
647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876
Phone (704) 703-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082286 | Medicaid | AZ |
Other names 1
- Hope Laurance
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000609 | AZ | MD | Behavioral Analyst |
| RBT-17-33152 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlights Healthcare of Georgia, LLC | Current | Accepting new patients | |
| Advanced Autism Center for Treatment LLC | Behavior Analyst | Past | Accepting new patients |
Locations
40 Dodd St SE
Ste 700
Marietta, GA 30060
Phone (470) 414-9606
647 Brawley School Rd
Ste 104
Mooresville, NC 28117
Phone (704) 935-5665
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Marietta, GA
- NPI 1831966993
-
- Behavior Analyst
- Mesa, AZ
- NPI 1811453434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1316454713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 BRAWLEY SCHOOL RD STE 104",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176876",
"telephone_number": "704-703-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DODD ST SE STE 700",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602512",
"telephone_number": "704-703-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLIS",
"first_name": "HOPE",
"middle_name": "ELEN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-07",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000609",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-17-33152",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082286",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOPE",
"last_name": "LAURANCE",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
- Ian Calk, DC
- Call to Arm (ARM Homecare)
- Christine Cooper Callaway, LPC
- Jori Chandler Callaway
- Kendall Marie Callihan, APRN
- Logan Gregory Calvert, DC
- Cama Care Partners - Marietta, LLC (Home Helpers Home Care of West Marietta, GA)
- Camelia Center
- Charles Whitfield Campbell Jr., M.D.
- Donald H Campbell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.