Active NPI
Hava Shlimak, BS, BA, BCBA
- Behavior Analyst
- Savannah, GA
National Provider Identifier
1487311643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65241
- Practice address
- 1 Diamond Causeway
Suite 21 - 121
Savannah, GA 31406-7417 - Phone
- (912) 434-4343
- Fax
- (912) 452-9600
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-65241 | GA | Primary |
| Behavior Analyst | 103K00000X | RBT-21-188282 | GA |
Addresses
Primary practice location
1 Diamond Causeway
Suite 21 - 121
Savannah, GA 31406-7417
Mailing address
3815 Pinewood CT
Cumming, GA 30041-2018
Phone (404) 808-9777
Other practice location 1
3319 Sugarloaf Pkwy
Lawrenceville, GA 30044-5483
Phone (866) 610-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-23-65241 | Other | BACB |
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
- Credentials
- Bachelor of Arts, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-188282 | GA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1487311643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 PINEWOOD CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300412018",
"telephone_number": "404-808-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND CAUSEWAY",
"address_2": "SUITE 21 - 121",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314067417",
"telephone_number": "912-434-4343",
"fax_number": "912-452-9600"
}
],
"practiceLocations": [
{
"address_1": "3319 Sugarloaf Pkwy",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300445483",
"country_code": "US",
"telephone_number": "866-610-0580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHLIMAK",
"first_name": "HAVA",
"credential": "BS, BA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-23-65241",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "RBT-21-188282",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-23-65241",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.