Active NPI
Vidusha Kumar
- Behavior Analyst
- Sandy Springs, GA
National Provider Identifier
1376161034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53750
- Practice address
- 6849 Peachtree Dunwoody Rd
Sandy Springs, GA 30328-1608 - Phone
- (470) 301-7446
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-77020 | GA | |
| Behavior Analyst | 103K00000X | 1-21-53750 | GA | Primary |
Addresses
Primary practice location
6849 Peachtree Dunwoody Rd
Sandy Springs, GA 30328-1608
Mailing address
5501 Glenridge Dr Apt 224
Atlanta, GA 30342-5030
Phone (470) 301-7446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-53750 | Other | GA | BACB |
| RBT-19-77020 | Other | GA | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vidusha@pathwaysbehavior.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-77020 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1376161034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 GLENRIDGE DR APT 224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425030",
"telephone_number": "470-301-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6849 PEACHTREE DUNWOODY RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303281608",
"telephone_number": "470-301-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "VIDUSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-19-77020",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-21-53750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-21-53750",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-19-77020",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "vidusha@pathwaysbehavior.com",
"affiliation": "N",
"address_1": "6849 Peachtree Dunwoody Rd",
"city": "Sandy Springs",
"state": "GA",
"country_code": "US",
"postal_code": "303281608",
"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 Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.