Organization Active NPI

Neuro Center for Pediatric Development

  • Behavior Analyst
  • Pooler, GA
National Provider Identifier
1740137306
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEURO CENTER FOR PEDIATRIC DEVELOPMENT
Practice address
131 Canal St Ste C
Pooler, GA 31322-6019
Phone
(912) 482-3461
NPI assigned
Mar 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Nicole Nwokey
Title
Director
Phone
(912) 482-3461

Specialties & licenses 1

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

Addresses

Primary practice location

131 Canal St Ste C
Pooler, GA 31322-6019

Mailing address

131 Canal St Ste C
Pooler, GA 31322-6019

National Provider Directory

National Provider Directory

Locations

131 Canal St
Ste C
Pooler, GA 31322
Phone (912) 482-3461

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1740137306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CANAL ST STE C",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313226019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CANAL ST STE C",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313226019",
            "telephone_number": "912-482-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO CENTER FOR PEDIATRIC DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A",
        "authorized_official_last_name": "NWOKEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-482-3461"
    },
    "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 Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; 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.