Individual provider Active NPI

Natalie Mitchell, MA, BCBA

  • Behavior Analyst
  • Warner Robins, GA
National Provider Identifier
1679073076
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47564
Practice address
225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097
Phone
(478) 508-1970
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-47564 Primary

Addresses

Primary practice location

225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097

Mailing address

225 Smithville Church Rd Ste 1100
Warner Robins, GA 31088-9097
Phone (800) 832-9419

Other practice location 1

402 General Courtney Hodges Blvd Ste 202
Perry, GA 31069-3206
Phone (478) 343-8896

Other identifiers 1

IdentifierTypeStateIssuer
1-21-47564OtherBACB

Other names 1

  • Natalie Delachica Former name

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Behavioral Therapy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1679073076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITHVILLE CHURCH RD STE 1100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889097",
            "telephone_number": "800-832-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITHVILLE CHURCH RD STE 1100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889097",
            "telephone_number": "478-508-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 General Courtney Hodges Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "GA",
            "postal_code": "310693206",
            "country_code": "US",
            "telephone_number": "478-343-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-47564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-47564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "DELACHICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.