Kimberly Heinemann

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11622943 Issued in GA

Practice address

2121 Newmarket Pkwy SE Ste 130
Marietta, GA 30067-9309

Phone

(678) 486-1911

NPI assigned

May 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1700221777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 PROSPECT PARK W",
            "address_2": "1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156669",
            "telephone_number": "708-638-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NEWMARKET PKWY SE STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679309",
            "telephone_number": "678-486-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-05",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "372809091",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "11622943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Meah Heckathorn, PA
• Robert I Heden, DPM
• Namratha Arvind Hegde, DDS
• Heib Life Therapy
• Daniel Joseph Heine, M.D.
• Leah Soyars Heisler, M.ED,
• Simona Paige Hellinger, RN, CNM
• Jansen Pryor Helm, ACNP-BC
• Charles Stephen Helms, O.D.
• Terrence Madison Helms, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.