Active NPI
Lee L Bouie Jr.
- Behavior Technician
- Lithonia, GA
National Provider Identifier
1346936150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842 - Phone
- (470) 361-2976
- NPI assigned
- Apr 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5461 Hillandale Dr Ste 100
Lithonia, GA 30058-4842
Mailing address
1620 Hollywood Rd NW Apt 12
Atlanta, GA 30318-9203
Phone (470) 250-0593
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1346936150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 HOLLYWOOD RD NW APT 12",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303189203",
"telephone_number": "470-250-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5461 HILLANDALE DR STE 100",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300584842",
"telephone_number": "470-361-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUIE",
"first_name": "LEE",
"middle_name": "L",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.