Bethany Oliver Craig, M. ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3281 Mills Ridge Dr
Canton, GA 30114-7103

Phone

(765) 414-6227

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Georgia Autism Center LLC.

  • Behavior Analyst
  • Woodstock, GA
  • NPI 1578048385
  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1669975579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 MILLS RIDGE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147103",
            "telephone_number": "765-414-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 MILLS RIDGE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147103",
            "telephone_number": "765-414-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Hammond Dr Bldg 18",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285532",
            "country_code": "US",
            "telephone_number": "678-982-9436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Warm Winds Trl",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145131",
            "country_code": "US",
            "telephone_number": "765-414-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER CRAIG",
        "first_name": "BETHANY",
        "credential": "M. ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Alexis Odorico-Reid, DC
• Miranda Oglesby
• Doris Ogolo
• Rita Okolo, DDS
• Sydney Okonoboh, DMD
• Kristin Oliver, FNP-C
• Alison Lynn Olsen, PT, DPT
• Richard E Olson II, D.C.
• Sheila Omakpokpose, MD
• Candler D Oneal, RN

• All providers in Canton, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.