Individual provider Active NPI

Veronica Rhiannon Boehm

  • Behavior Analyst
  • Sandy Springs, GA
National Provider Identifier
1356832414
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
400 Northridge Rd Ste 140
Sandy Springs, GA 30350-3352
Phone
(470) 361-2000
NPI assigned
May 24, 2018
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

400 Northridge Rd Ste 140
Sandy Springs, GA 30350-3352

Mailing address

400 Northridge Rd Ste 140
Sandy Springs, GA 30350-3352

Other practice location 1

1860 Barnett Shoals Rd Ste 103-442
Athens, GA 30605-6811
Phone (855) 832-6727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@georgiabehavior.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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Behavior Associates LLC Behavior Analyst PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1356832414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORTHRIDGE RD STE 140",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303503352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTHRIDGE RD STE 140",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303503352",
            "telephone_number": "470-361-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Barnett Shoals Rd Ste 103-442",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306056811",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "VERONICA",
        "middle_name": "RHIANNON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@georgiabehavior.com",
            "affiliation": "N",
            "address_1": "400 Northridge Rd Ste 140",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303503352",
            "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 Dec 14, 2022; 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.