NPIMap

Organization Active NPI

Live Oak Behavioral Services, LLC

  • Behavior Analyst
  • Evans, GA
National Provider Identifier
1477040244
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIVE OAK BEHAVIORAL SERVICES, LLC
Practice address
1135 Waltons Pass
Evans, GA 30809-8250
Phone
(706) 755-2785
Fax
(206) 755-2783
NPI assigned
Apr 17, 2018
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Christine Elizabeth Robison, BCBA
Title
Member
Phone
(706) 755-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1135 Waltons Pass
Evans, GA 30809-8250

Mailing address

PO Box 1997
Evans, GA 30809-1997
Phone (706) 755-2785

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1477040244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308091997",
            "telephone_number": "706-755-2785",
            "fax_number": "706-755-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 WALTONS PASS",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098250",
            "telephone_number": "706-755-2785",
            "fax_number": "206-755-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "706-755-2785",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.