Active NPI
Cassandra Hockaday, RBT
- Behavior Technician
- Dallas, GA
National Provider Identifier
1528704590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-213686
- Practice address
- 296 Merchants SQ
Dallas, GA 30132-5029 - Phone
- (470) 391-2300
- Fax
- (470) 592-6581
- NPI assigned
- May 11, 2022
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 | RBT-22-213686 | GA | Primary |
Addresses
Primary practice location
296 Merchants SQ
Dallas, GA 30132-5029
Mailing address
296 Merchants SQ
Dallas, GA 30132-5029
Phone (470) 391-2300
Other practice location 1
9559 Highway 5 Ste 601
Douglasville, GA 30135-1572
Phone (470) 632-5276
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-213686 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1528704590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 MERCHANTS SQ",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325029",
"telephone_number": "470-391-2300",
"fax_number": "470-592-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 MERCHANTS SQ",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325029",
"telephone_number": "470-391-2300",
"fax_number": "470-592-6581"
}
],
"practiceLocations": [
{
"address_1": "9559 Highway 5 Ste 601",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301351572",
"country_code": "US",
"telephone_number": "470-632-5276",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOCKADAY",
"first_name": "CASSANDRA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2023-06-26",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-213686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- 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.