NPIMap

Organization Active NPI

Great Moments Behavior Analyst LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1366227043
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GREAT MOMENTS BEHAVIOR ANALYST LLC
Practice address
3455 Peachtree Rd NE FL 5
Atlanta, GA 30326-3254
Phone
(845) 596-2271
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Yocheved WassermanNPI 1972960680
Title
Bcba
Phone
(845) 596-2271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3455 Peachtree Rd NE FL 5
Atlanta, GA 30326-3254

Mailing address

283 Scenic Dr
Manchester, NH 03104-2023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1366227043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 SCENIC DR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE RD NE FL 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263254",
            "telephone_number": "845-596-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MOMENTS BEHAVIOR ANALYST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "YOCHEVED",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "845-596-2271"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 30, 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.

Verify at the official NPI Registry.