Organization Active NPI

Isnimaro LLC

  • Behavior Analyst
  • Grayson, GA
National Provider Identifier
1699594986
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ISNIMARO LLC
Practice address
927 Heritage Post LN
Grayson, GA 30017-7847
Phone
(470) 282-9559
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Barbara Rodriguez Davila
Title
Principal Executive
Phone
(470) 282-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

927 Heritage Post LN
Grayson, GA 30017-7847

Mailing address

927 Heritage Post LN
Grayson, GA 30017-7847
Phone (470) 282-9559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1699594986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 HERITAGE POST LN",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177847",
            "telephone_number": "470-282-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 HERITAGE POST LN",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177847",
            "telephone_number": "470-282-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISNIMARO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DAVILA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRINCIPAL EXECUTIVE",
        "authorized_official_telephone_number": "470-282-9559"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.