Jim C. Taylor, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9052 Issued in GA

Practice address

24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113

Phone

(912) 208-2024

NPI assigned

Jul 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• ABA Pathways, LLC

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1770838468
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1487942199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "734-203-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOE KENNEDY BLVD STE 13",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304583113",
            "telephone_number": "912-208-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Pavilion Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144056",
            "country_code": "US",
            "telephone_number": "770-954-8988",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Canal St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "31322",
            "country_code": "US",
            "telephone_number": "912-988-1444",
            "fax_number": "615-577-5661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 Hightower Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582443",
            "country_code": "US",
            "telephone_number": "912-839-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JIM",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-11-9052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Souza Tanner, DPT
• Michael Anthony Taormina, M.D.
• Stacey Joanne Tapley, FNP-BC/C
• Tattnall Hospital Company LLC
• Taylor Counseling Services, LLC
• Kailyn Taylor
• Sarah Taylor, M.S., LPC
• Technical Diagnostic Imaging, LLC
• John Monroe Templeton Jr., DC
• Rachael Anne Templeton, D.C.

• Behavior Analyst in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.