Active NPI
Akeva Clarke
- Behavior Technician
- Marietta, GA
National Provider Identifier
1871366518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-297890
- Practice address
- 1511 Johnson Ferry Rd Ste 145
Marietta, GA 30062-6403 - Phone
- (470) 231-2377
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-23-297890 | GA | Primary |
Addresses
Primary practice location
1511 Johnson Ferry Rd Ste 145
Marietta, GA 30062-6403
Mailing address
PO Box 931142
Atlanta, GA 31193-1142
Other names 1
- Akeva Gale
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 |
|---|---|---|---|
| RBT-23-297890 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1871366518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931142",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311931142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 JOHNSON FERRY RD STE 145",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626403",
"telephone_number": "470-231-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "AKEVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-23-297890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AKEVA",
"last_name": "GALE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.