Individual provider Active NPI

Curtis Logan Everitt, BCABA

  • Assistant Behavior Analyst
  • Marietta, GA
National Provider Identifier
1447877634
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-23-14593 Issued in GA
Practice address
1230 Johnson Ferry PL Ste B10
Marietta, GA 30068-2044
Phone
(404) 410-7600
NPI assigned
Jul 3, 2020
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-125318 GA
Assistant Behavior Analyst 106E00000X 0-23-14593 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL Ste B10
Marietta, GA 30068-2044

Mailing address

5050 Research CT Ste 125
Suwanee, GA 30024-5573
Phone (404) 410-7600

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-20-125318GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Behavior Services LLC CurrentSince Oct 29, 2023 Accepting new patients
Ready to Learn ABA, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

1230 Johnson Ferry Pl
Ste B10
Marietta, GA 30068
Phone (770) 509-0017

5050 Research Ct
Ste 125
Suwanee, GA 30024
Phone (404) 202-8142

Organizations & group practices 2

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1447877634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 RESEARCH CT STE 125",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245573",
            "telephone_number": "404-410-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE B10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682044",
            "telephone_number": "404-410-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERITT",
        "first_name": "CURTIS",
        "middle_name": "LOGAN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-125318",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "0-23-14593",
            "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 Oct 25, 2023; 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.