Active NPI
Deirdre Carter
- Behavior Technician
- McDonough, GA
National Provider Identifier
1730720368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-140953
- Practice address
- 382 Racetrack Rd
McDonough, GA 30252-1022 - Phone
- (678) 691-2206
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | RBT-20-140953 | GA | Primary |
Addresses
Primary practice location
382 Racetrack Rd
McDonough, GA 30252-1022
Mailing address
382 Racetrack Rd
McDonough, GA 30252-1022
Phone (678) 691-2206
Other practice location 1
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-140953 | Other | GA | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | deirdre@pathwaysbehavior.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-20-140953 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1730720368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "678-691-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "678-691-2206"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "DEIRDRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-20-140953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-140953",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "deirdre@pathwaysbehavior.com",
"affiliation": "N",
"address_1": "382 Racetrack Rd",
"city": "McDonough",
"state": "GA",
"country_code": "US",
"postal_code": "302521022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.