Active NPI
Aubriana Sanderson, BCBA
- Behavior Analyst
- Columbus, GA
National Provider Identifier
1710489539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-57902
- Practice address
- 1450 54TH St Ste C
Columbus, GA 31904 - Phone
- (706) 221-1208
- Fax
- (706) 221-1209
- NPI assigned
- Mar 7, 2018
- Last updated
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-22-57902 | GA | Primary |
| Behavior Technician | 106S00000X | RBT-18-58430 | GA |
Addresses
Primary practice location
1450 54TH St Ste C
Columbus, GA 31904
Mailing address
10175 Fortune Parkway Ste 903
Jacksonville, FL 32256-6755
Phone (904) 538-0713
Other names 1
- Ms. Aubriana Jones
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asanderson@reachingmilestones.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-58430 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1710489539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 FORTUNE PARKWAY STE 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566755",
"telephone_number": "904-538-0713",
"fax_number": "904-538-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 54TH ST STE C",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31904",
"telephone_number": "706-221-1208",
"fax_number": "706-221-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "AUBRIANA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-22-57902",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-18-58430",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asanderson@reachingmilestones.com",
"affiliation": "N",
"address_1": "1450 54th St Ste C",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "31904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AUBRIANA",
"last_name": "JONES",
"prefix": "MS.",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.