Active NPI
Elijah Hargrove
- Behavior Technician
- Sandy Springs, GA
National Provider Identifier
1487580098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 189727552
- Practice address
- 4920 Roswell Rd Ste 1
Sandy Springs, GA 30342-2684 - Phone
- (407) 537-5426
- Fax
- (866) 611-1558
- NPI assigned
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 189727552 | CT | Primary |
Addresses
Primary practice location
4920 Roswell Rd Ste 1
Sandy Springs, GA 30342-2684
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1487580098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "866-610-0580",
"fax_number": "866-611-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 ROSWELL RD STE 1",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303422684",
"telephone_number": "407-537-5426",
"fax_number": "866-611-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "ELIJAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": "189727552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.