Individual provider Active NPI

Chelsea Sullivan Vice, BCBA

  • Behavior Analyst
  • Johns Creek, GA
National Provider Identifier
1861936635
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
11030 Jones Bridge Rd Ste 310
Johns Creek, GA 30022-4560
Phone
(678) 691-2206
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

11030 Jones Bridge Rd Ste 310
Johns Creek, GA 30022-4560

Mailing address

2472 Jett Ferry Rd Ste 400-197
Atlanta, GA 30338-3059
Phone (678) 691-2206

Other practice location 1

50 Plaza Way NW Ste A
Marietta, GA 30060
Phone (678) 691-2206

Other practice location 2

6849 Peachtree Dunwoody Rd Bldg A1
Atlanta, GA 30328
Phone (678) 691-2206

Other practice location 3

382 Racetrack Rd
McDonough, GA 30252
Phone (678) 691-2206

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

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1861936635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 JETT FERRY RD STE 400-197",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383059",
            "telephone_number": "678-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 JONES BRIDGE RD STE 310",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224560",
            "telephone_number": "678-691-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Plaza Way NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30060",
            "country_code": "US",
            "telephone_number": "678-691-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6849 Peachtree Dunwoody Rd Bldg A1",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30328",
            "country_code": "US",
            "telephone_number": "678-691-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 Racetrack Rd",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "30252",
            "country_code": "US",
            "telephone_number": "678-691-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICE",
        "first_name": "CHELSEA",
        "middle_name": "SULLIVAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.