Active NPI
Dare to Be Different Incorporated
- Local Education Agency (LEA)
- Atlanta, GA
National Provider Identifier
1346133436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- DARE TO BE DIFFERENT INCORPORATED
- Practice address
- 648 Memorial Dr. SE,
Atlanta, GA 30312 - Phone
- (770) 853-0751
- NPI assigned
- May 29, 2025
- Last updated
- Sep 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodore M Watson
- Title
- Ceo/Founder
- Phone
- (770) 853-0751
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | NU | ||
| Case Management Agency | 251B00000X | NU | ||
| Public Health or Welfare Agency | 251K00000X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| State or Local Public Health Clinic/Center | 261QP0905X | NU | ||
| Secured Medical Transport (VAN) | 343800000X | NU | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NU | ||
| Local Education Agency (LEA) | 251300000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
648 Memorial Dr. SE,
Atlanta, GA 30312
Mailing address
2161 Cypress LN SW
Atlanta, GA 30331-5923
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1346133436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 CYPRESS LN SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303315923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 MEMORIAL DR. SE,",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "770-853-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARE TO BE DIFFERENT INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-29",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "770-853-0751"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.