Individual provider Active NPI

Sydney Dewoody

  • Behavior Technician
  • Decatur, GA
National Provider Identifier
1487560041
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25476701 Issued in GA
Practice address
1894 Ludovie LN
Decatur, GA 30033-1044
Phone
(678) 626-0557
Fax
(678) 288-7932
NPI assigned
Aug 21, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 25476701 GA Primary

Addresses

Primary practice location

1894 Ludovie LN
Decatur, GA 30033-1044

Mailing address

1894 Ludovie LN
Decatur, GA 30033-1044
Phone (678) 626-0557

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services, LLC Behavior Technician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1487560041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 LUDOVIE LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331044",
            "telephone_number": "678-626-0557",
            "fax_number": "678-288-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 LUDOVIE LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331044",
            "telephone_number": "678-626-0557",
            "fax_number": "678-288-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOODY",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "25476701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.