Active NPI
Tarie Prejean, BCBA
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1689159220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32378
- Practice address
- 3800 Camp Creek Pkwy SW Ste 100
Atlanta, GA 30331-6247 - Phone
- (770) 999-9271
- Fax
- (317) 520-8200
- NPI assigned
- Sep 29, 2018
- Last updated
- Dec 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32378 | NC | |
| Behavior Analyst | 103K00000X | 1-18-32378 | GA | Primary |
Addresses
Primary practice location
3800 Camp Creek Pkwy SW Ste 100
Atlanta, GA 30331-6247
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541
Phone (980) 380-9775
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 |
|---|---|---|---|
| Mosaic Group, LLC | Behavior Analyst | Past | Accepting new patients |
| Connect N Care ABA | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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": "1538179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1689159220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 CAMP CREEK PKWY SW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303316247",
"telephone_number": "770-999-9271",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "9930 Kincey Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280786541",
"country_code": "US",
"telephone_number": "980-380-9775",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREJEAN",
"first_name": "TARIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-29",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-18-32378",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-18-32378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.