Active NPI
Jadzia Gunn
- Behavior Analyst
- Norcross, GA
National Provider Identifier
1841039823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 22209842
- Practice address
- 5734 Singlebriar CT
Norcross, GA 30093-3968 - Phone
- (404) 825-6006
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 22209842 | GA | Primary |
Addresses
Primary practice location
5734 Singlebriar CT
Norcross, GA 30093-3968
Mailing address
3550 Pleasant Hill Rd Apt 114
Duluth, GA 30096-4869
Phone (404) 825-6006
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 |
|---|---|---|---|
| 22209842 | GA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1841039823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 PLEASANT HILL RD APT 114",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964869",
"telephone_number": "404-825-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5734 SINGLEBRIAR CT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933968",
"telephone_number": "404-825-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "JADZIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "22209842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.