Individual provider Active NPI

Jessica Borus, RBT

  • Behavior Technician
  • Kennesaw, GA
National Provider Identifier
1568375566
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-381607 Issued in GA
Practice address
1619 Collins Rd NW Ste 500
Kennesaw, GA 30152-8237
Phone
(470) 531-0430
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-381607 GA Primary

Addresses

Primary practice location

1619 Collins Rd NW Ste 500
Kennesaw, GA 30152-8237

Mailing address

1619 Collins Rd NW Ste 500
Kennesaw, GA 30152-8237
Phone (470) 531-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1568375566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 COLLINS RD NW STE 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528237",
            "telephone_number": "470-531-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 COLLINS RD NW STE 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528237",
            "telephone_number": "470-531-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUS",
        "first_name": "JESSICA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-381607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.