Georgia Beauregard, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23698 Issued in GA

Practice address

1435 Meridian St SE
Atlanta, GA 30317-1725

Phone

(770) 268-3909

NPI assigned

Dec 13, 2016

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1689118473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 MERIDIAN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171725",
            "telephone_number": "770-268-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 MERIDIAN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171725",
            "telephone_number": "770-268-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "GEORGIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-16-23698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laina Beaudreau, APC
• Dominic Beaufeaux, M.ED., APC
• Sherley Leon Beaufils, NP-C
• Talishe Beauford, M.S. CCC-SLP
• Nicholas Jean Beaulieu, M.D.
• Frances Beausejour-Myers, LPC
• Neena Konadu Beausoleil, MSW
• Robin Beautelus
• Beautiful Mindz ABA Center LLC (Beautiful Mindz ABA Center)
• Beautiful Smiles at MLK

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.