Individual provider Active NPI

Christopher Dollinger, MS, BCBA

  • Behavior Analyst
  • Roswell, GA
National Provider Identifier
1558060723
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12364262 Issued in GA
Practice address
11865 Wexford Club Dr
Roswell, GA 30075-1471
Phone
(925) 752-2119
Fax
(404) 481-2699
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12364262 GA Primary

Addresses

Primary practice location

11865 Wexford Club Dr
Roswell, GA 30075-1471

Mailing address

11865 Wexford Club Dr
Roswell, GA 30075-1471
Phone (925) 752-2119

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12364262GAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Brady Behavior Analysis CurrentSince Mar 5, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1558060723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11865 WEXFORD CLUB DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751471",
            "telephone_number": "925-752-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 WEXFORD CLUB DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751471",
            "telephone_number": "925-752-2119",
            "fax_number": "404-481-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLINGER",
        "first_name": "CHRISTOPHER",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "12364262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.