Beckhom Behavioral Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-03-1465

Legal business name

BECKHOM BEHAVIORAL CONSULTING, LLC

Practice address

1509 W 3Rd Ave
Albany, GA 31707-3647

Phone

(229) 439-9951

Fax

(229) 439-9553

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Michelle Wilburn-Beckhom, BCBA

Title

Program Director

Phone

(229) 439-9951

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1619492253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51293",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317031293",
            "telephone_number": "229-439-9951",
            "fax_number": "229-439-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073647",
            "telephone_number": "229-439-9951",
            "fax_number": "229-439-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKHOM BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "WILBURN-BECKHOM",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "229-439-9951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-03-1465",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003183174A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003179879B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003179879C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesa Beach, NP
• Tiffiney Renee Bean, D.C.
• Lei Beard, PHARMD
• Bethany Beasley
• Ryann Beaumont, D.O.
• Tezita Beemnet
• Fatima Begum, RD, LD
• Sam Belakhlef, PH.D
• Amber Marie Bell
• Anita Joyce Bell, MD

• Behavior Analyst in Albany, GA
• Providers in Albany, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.