Asanti Boone

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-159267 Issued in GA

Practice address

5461 Hillandale Dr
Lithonia, GA 30058-4841

Phone

(470) 361-2976

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1609464643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 HILLANDALE DR STE 100",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584842",
            "telephone_number": "612-402-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 HILLANDALE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584841",
            "telephone_number": "470-361-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ASANTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-159267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa B Blount
• Corrine Celeste Bolles, PT, DPT
• Larina Noelle Bongard, BS, RBT
• Densua Yalantys Bonner
• Ronald C Bookhart, MD
• Janice Ann Boone, RN
• Cheryl Denise Bordenave, RN
• Lee L Bouie Jr.
• Kierstin Martrice Bouknight, NP
• Cindy Jo-Ann Bowen, NP

• All providers in Lithonia, GA
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.