NPIMap

Organization Active NPI

Promoting Independence Behavioral Therapy LLC

  • Behavior Analyst
  • Thomasville, GA
National Provider Identifier
1760092852
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROMOTING INDEPENDENCE BEHAVIORAL THERAPY LLC
Practice address
316 Tuxedo Dr
Thomasville, GA 31792-6763
Phone
(850) 728-1853
Fax
(833) 252-3318
NPI assigned
Aug 4, 2020
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Taylor Ferguson, BCBANPI 1922373604
Title
Owner
Phone
(850) 728-1853

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 Analyst 103K00000X Primary

Addresses

Primary practice location

316 Tuxedo Dr
Thomasville, GA 31792-6763

Mailing address

316 Tuxedo Dr
Thomasville, GA 31792-6763
Phone (850) 728-1853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1760092852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 TUXEDO DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926763",
            "telephone_number": "850-728-1853",
            "fax_number": "833-252-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 TUXEDO DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926763",
            "telephone_number": "850-728-1853",
            "fax_number": "833-252-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOTING INDEPENDENCE BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-728-1853",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.