NPIMap

Organization Active NPI

Artistic Legends

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1740059211
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ARTISTIC LEGENDS
Practice address
2217 Roswell Rd Ste 100
Marietta, GA 30062-2957
Phone
(404) 406-1389
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Kenisha MaysNPI 1760251235
Title
Owner
Phone
(404) 406-1389

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2217 Roswell Rd Ste 100
Marietta, GA 30062-2957

Mailing address

2146 Roswell Rd
Ste 108 PMB 510
Marietta, GA 30062
Phone (404) 406-1389

National Provider Directory

National Provider Directory

Locations

2146 Roswell Rd
Ste 108
Marietta, GA 30062

2146 Roswell Rd
Marietta, GA 30062

2217 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (404) 406-1389

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1740059211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 ROSWELL RD",
            "address_2": "STE 108 PMB 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "404-406-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 ROSWELL RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622957",
            "telephone_number": "404-406-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC LEGENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-406-1389"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.