Angela Eschbach, MAT, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB305488 Issued in GA

Practice address

465 Winn Way Ste 130&140
Decatur, GA 30030-1753

Phone

(888) 509-6368

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1811405665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 SCOTT CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 130&140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "888-509-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Hightower Trl",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303506244",
            "country_code": "US",
            "telephone_number": "866-750-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCHBACH",
        "first_name": "ANGELA",
        "credential": "MAT, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "BACB305488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEAZLEY INSURANCE COMPANY INC.",
            "identifier": "V20E85170101",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202025A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Lee Erickson, DPT
• Karen Erlinger
• Sanoma Abada Erutere, FNP-C, ENP-C
• Jasmine Erves, OTR/L
• Shannon R Escarra, PT, DPT
• Susan Escobal
• Kristy Escoto
• Joseph John Esfahbodi Rad, PA-C
• Yonatan Eshetu, PT, DPT
• Daniela M. Espino, DPT, PT

• Behavior Analyst in Decatur, GA
• Providers in Decatur, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.