Active NPI
Marie Wilbert
- Behavior Analyst
- College Park, GA
National Provider Identifier
1619309267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5134 Old National Hwy
Suite C
College Park, GA 30349-3286 - Phone
- (770) 997-6363
- NPI assigned
- Aug 6, 2013
- Last updated
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5134 Old National Hwy
Suite C
College Park, GA 30349-3286
Mailing address
5500 Oakley Industrial Blvd
Apt 912
Fairburn, GA 30213-6025
Phone (770) 572-9361
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": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1619309267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 OAKLEY INDUSTRIAL BLVD",
"address_2": "APT 912",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136025",
"telephone_number": "770-572-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5134 OLD NATIONAL HWY",
"address_2": "SUITE C",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303493286",
"telephone_number": "770-997-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBERT",
"first_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.