Individual provider Active NPI

Daniel Aderibigbe

  • Behavior Technician
  • Atlanta, GA
National Provider Identifier
1396597332
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23302501 Issued in GA
Practice address
3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323
Phone
(404) 487-6005
NPI assigned
Apr 3, 2024
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23302501 GA Primary

Addresses

Primary practice location

3190 Northeast Expy NE Ste 110
Atlanta, GA 30341-5323

Mailing address

2183 Trinity Grove CT
Dacula, GA 30019-1080
Phone (404) 667-1693

Other identifiers 1

IdentifierTypeStateIssuer
23302501OtherGARBT

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
23302501GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Talents ABA CurrentSince Apr 14, 2024 Accepting new patients
Hidden Talents ABA NC LLC CurrentSince Apr 9, 2024 Accepting new patients

Organizations & group practices 3

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1396597332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 TRINITY GROVE CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191080",
            "telephone_number": "404-667-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 NORTHEAST EXPY NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415323",
            "telephone_number": "404-487-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERIBIGBE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "23302501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "23302501",
            "state": "GA"
        }
    ],
    "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 Apr 3, 2024; 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.