Active NPI
Taylor Marie Phillips
- Behavior Analyst
- Marietta, GA
National Provider Identifier
1396447546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-16869
- Practice address
- 1675 Terrell Mill Rd SE
Marietta, GA 30067-8362 - Phone
- (888) 517-8377
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- 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 Analyst | 103K00000X | 1-26-16869 | GA | Primary |
Addresses
Primary practice location
1675 Terrell Mill Rd SE
Marietta, GA 30067-8362
Mailing address
464 Bishop St NW Apt 303
Atlanta, GA 30318-4458
Phone (470) 455-8759
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": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770508800000",
"number": "1396447546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 BISHOP ST NW APT 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184458",
"telephone_number": "470-455-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 TERRELL MILL RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678362",
"telephone_number": "888-517-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2026-02-08",
"certification_date": "2026-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-26-16869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.