Active NPI
Tekeya Renee Gill
- Behavior Technician
- Stockbridge, GA
National Provider Identifier
1588211700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1233 Eagles Landing Pkwy Ste Aandb
Stockbridge, GA 30281-6399 - Phone
- (404) 480-3842
- Fax
- (615) 577-5654
- NPI assigned
- Aug 22, 2019
- 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 | Primary |
Addresses
Primary practice location
1233 Eagles Landing Pkwy Ste Aandb
Stockbridge, GA 30281-6399
Mailing address
2555 Flat Shoals Rd Apt 2103
Atlanta, GA 30349-4374
Phone (708) 833-2291
Other practice location 1
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone (857) 829-4040
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1588211700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 FLAT SHOALS RD APT 2103",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303494374",
"telephone_number": "708-833-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 EAGLES LANDING PKWY STE AANDB",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816399",
"telephone_number": "404-480-3842",
"fax_number": "615-577-5654"
}
],
"practiceLocations": [
{
"address_1": "225 Cedar Hill St Ste 200",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017525900",
"country_code": "US",
"telephone_number": "857-829-4040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "TEKEYA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"address_1": "225 Cedar Hill St Ste 200",
"city": "Marlborough",
"state": "MA",
"country_code": "US",
"postal_code": "017525900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.