Audrey May Charlson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4143 Columbia Rd Ste B
Martinez, GA 30907-5405

Phone

(706) 755-2785

NPI assigned

Feb 24, 2022

Sex

Female

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.

• Live Oak Behavioral Services, LLC

  • Behavior Analyst
  • Evans, GA
  • NPI 1477040244
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1497401814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075405",
            "telephone_number": "706-755-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075405",
            "telephone_number": "706-755-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLSON",
        "first_name": "AUDREY",
        "middle_name": "MAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Podiatry Care
• Challenging Perspectives
• Celena Chyane Chance
• Channeled Paths, Inc.
• Dora Mae Chaplin, MA, RD, LD
• Child Neuro Health and Wellness Center
• Child Neurobehavioral Center for Health & Wellness, PC
• Brionna Chisolm
• Mathew Ciechan, MD
• Michele L. Claeys, D.M.D.

• Behavior Technician in Martinez, GA
• Providers in Martinez, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.