Active NPI
Octavia Antoine
- Behavior Analyst
- Smyrna, GA
National Provider Identifier
1669011516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4234 - Phone
- (470) 666-5220
- Fax
- (470) 509-4895
- NPI assigned
- Dec 24, 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4234
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Autism Center | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1669011516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "866-610-0580",
"fax_number": "407-588-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 CONCORD RD SE STE 220",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804234",
"telephone_number": "470-666-5220",
"fax_number": "470-509-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOINE",
"first_name": "OCTAVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-24",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
- Anew You Couneling, LLC
- Angel Express Transportation
- Angela Ronay Richardson (ReConnect Therapeutic Associates, LLC)
- Ankle and Foot Centers of Georgia, LLC
- Anthony T. Nguyen, D.D.D., P.C.
- Dalia Elsayed Arafat, D.C.
- Johmaris Aragon Longo, RPH
- Cori Mizell Archer, M. ED.
- Surabhi Arjunan, MD
- Michael Edwin Armbruster Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.