Active NPI
Pivotal Cusp
- Behavior Analyst
- Woodstock, GA
National Provider Identifier
1700601663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shenae Amelia March
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.
-
- Behavior Analyst
- Acworth, GA
- NPI 1710685920
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.