NPIMap

Organization Active NPI

Georgia Neurobehavioral Associates, LLC

  • Psychologist
  • Canton, GA
National Provider Identifier
1861831562
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2283 Issued in GA
Legal business name
GEORGIA NEUROBEHAVIORAL ASSOCIATES, LLC
Practice address
140 E Marietta St
Suite 301
Canton, GA 30114-3013
Phone
(770) 213-3594
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Allison Curving Doerr, PH.D., BCBA-DNPI 1003254327
Title
Chief Clinical Officer
Phone
(770) 213-3594

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2283 GA Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

140 E Marietta St
Suite 301
Canton, GA 30114-3013

Mailing address

140 E Marietta St
Suite 301
Canton, GA 30114-3013
Phone (770) 213-3594

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1861831562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E MARIETTA ST",
            "address_2": "SUITE 301",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143013",
            "telephone_number": "770-213-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E MARIETTA ST",
            "address_2": "SUITE 301",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143013",
            "telephone_number": "770-213-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NEUROBEHAVIORAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "CURVING",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "770-213-3594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2283",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.