Individual provider Active NPI

Sara Mackenzie Taylor Durm

  • Behavior Analyst
  • Lawrenceville, GA
National Provider Identifier
1316552607
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA001152 Issued in GA
Practice address
289 S Culver St
Lawrenceville, GA 30046-4805
Phone
(423) 505-2584
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1404 TN
Behavior Analyst 103K00000X LBA001152 GA Primary

Addresses

Primary practice location

289 S Culver St
Lawrenceville, GA 30046-4805

Mailing address

289 S Culver St
Lawrenceville, GA 30046-4805

Other names 1

  • Sara Mackenzie Taylor Durm Professional name

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
LBA001152GAMDBehavioral Analyst
1404TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1316552607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805",
            "telephone_number": "423-505-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURM",
        "first_name": "SARA",
        "middle_name": "MACKENZIE TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1404",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DURM",
            "middle_name": "MACKENZIE TAYLOR",
            "credential": "MA. BCBA. LBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.