Individual provider Active NPI

April L Roseborough

  • Behavior Technician
  • Valdosta, GA
National Provider Identifier
1407642218
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25-429-243 Issued in GA
Practice address
2704 N Oak St BLDG A1
Valdosta, GA 31602-5901
Phone
(229) 474-4384
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 25-429-243 GA Primary

Addresses

Primary practice location

2704 N Oak St BLDG A1
Valdosta, GA 31602-5901

Mailing address

4062 Conway Cir
Valdosta, GA 31605-4413
Phone (786) 295-3463

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
25-429-243GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1407642218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 CONWAY CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316054413",
            "telephone_number": "786-295-3463",
            "fax_number": "786-295-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG A1",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025901",
            "telephone_number": "229-474-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBOROUGH",
        "first_name": "APRIL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "25-429-243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.