NPIMap

Organization Active NPI

N/a

  • Behavior Technician
  • Monroe, GA
National Provider Identifier
1609715713
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
N/A
Practice address
957 Masters Dr
Monroe, GA 30655-8483
Phone
(770) 883-9181
NPI assigned
Mar 25, 2026
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ms. Terribia Sade Bynum, RBTNPI 1447199583
Title
Registered Behavior Technician
Phone
(770) 883-9181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

957 Masters Dr
Monroe, GA 30655-8483

Mailing address

957 Masters Dr
Monroe, GA 30655-8483
Phone (770) 883-9181

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1609715713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 MASTERS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558483",
            "telephone_number": "770-883-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MASTERS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558483",
            "telephone_number": "770-883-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N/A",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "TERRIBIA",
        "authorized_official_middle_name": "SADE",
        "authorized_official_title_or_position": "REGISTERED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "770-883-9181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.