Individual provider Active NPI

Tiarra Pecolia Geddie, RBT

  • Behavior Technician
  • Lilburn, GA
National Provider Identifier
1417822255
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT25450773 Issued in GA
Practice address
3993 Lawrenceville Hwy NW Ste 110
Lilburn, GA 30047-2831
Phone
(404) 868-9646
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 RBT25450773 GA Primary

Addresses

Primary practice location

3993 Lawrenceville Hwy NW Ste 110
Lilburn, GA 30047-2831

Mailing address

2860 Mitchell PL
Decatur, GA 30032-4258
Phone (470) 216-1605

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
RBT25450773GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1417822255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MITCHELL PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324258",
            "telephone_number": "470-216-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 110",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472831",
            "telephone_number": "404-868-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDIE",
        "first_name": "TIARRA",
        "middle_name": "PECOLIA",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT25450773",
            "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 Oct 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.