Organization Active NPI

Pivotal Behavior ABA, LLC

  • Behavior Analyst
  • Hampton, GA
National Provider Identifier
1508521782
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PIVOTAL BEHAVIOR ABA, LLC
Practice address
308 Christian CT
Hampton, GA 30228-2890
Phone
(470) 737-5755
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Donnica Conway-Strawder, BCBA.LBA
Title
Owner
Phone
(470) 737-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

308 Christian CT
Hampton, GA 30228-2890

Mailing address

308 Christian CT
Hampton, GA 30228-2890
Phone (470) 737-5755

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1508521782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CHRISTIAN CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282890",
            "telephone_number": "470-737-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CHRISTIAN CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282890",
            "telephone_number": "470-737-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL BEHAVIOR ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "CONWAY-STRAWDER",
        "authorized_official_first_name": "DONNICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-737-5755",
        "authorized_official_credential": "BCBA.LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.