Individual provider Active NPI

Quovadis Pallord, RBT

  • Behavior Technician
  • Lilburn, GA
National Provider Identifier
1396408555
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-188878 Issued in GA
Practice address
3050 Five Forks Trickum Rd. SW
Suite D # 437
Lilburn, GA 30047-5067
Phone
(678) 346-6940
Fax
(470) 359-7925
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X RBT-21-188878 GA Primary

Addresses

Primary practice location

3050 Five Forks Trickum Rd. SW
Suite D # 437
Lilburn, GA 30047-5067

Mailing address

3050 Five Forks Trickum Rd. SW
Suite D # 437
Lilburn, GA 30047-5067
Phone (678) 346-6940

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

LicenseStateTypeSpecialty
RBT-21-188878GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
QNP Case Management Services LLC Case Manager/Care Coordinator CurrentSince Apr 20, 2025 Accepting new patients

Locations

3050 Five Forks Trickum Rd SW
Ste D
Lilburn, GA 30047
Phone (678) 346-6940

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1396408555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD. SW",
            "address_2": "SUITE D # 437",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475067",
            "telephone_number": "678-346-6940",
            "fax_number": "470-359-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD. SW",
            "address_2": "SUITE D # 437",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475067",
            "telephone_number": "678-346-6940",
            "fax_number": "470-359-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLORD",
        "first_name": "QUOVADIS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-188878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.