Organization Active NPI

Pivotal Cusp

  • Behavior Analyst
  • Woodstock, GA
National Provider Identifier
1700601663
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PIVOTAL CUSP
Practice address
101 Love LN
Woodstock, GA 30188-4282
Phone
(478) 561-0962
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Shenae Amelia MarchNPI 1710685920
Title
Owner
Phone
(478) 561-0962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

101 Love LN
Woodstock, GA 30188-4282

Mailing address

1720 Mars Hill Rd NW Ste 124-411
Acworth, GA 30101-7127
Phone (478) 561-0962

National Provider Directory

National Provider Directory

Locations

1720 Mars Hill Rd NW
Ste 124411
Acworth, GA 30101
Phone (678) 834-3284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1700601663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 124-411",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "478-561-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOVE LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884282",
            "telephone_number": "478-561-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL CUSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "SHENAE",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-561-0962"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.