Active NPI
Jeron Trotman
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1891316444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23062
- Practice address
- 3348 Peachtree Rd NE Ste 700
Atlanta, GA 30326-1682 - Phone
- (615) 570-9959
- Fax
- (646) 859-4440
- NPI assigned
- May 5, 2020
- Sex
- Male
- 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 Analyst | 103K00000X | 1-16-23062 | GA | Primary |
Addresses
Primary practice location
3348 Peachtree Rd NE Ste 700
Atlanta, GA 30326-1682
Mailing address
3348 Peachtree Rd NE Ste 700
Atlanta, GA 30326-1682
Phone (615) 570-9959
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": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1891316444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 PEACHTREE RD NE STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261682",
"telephone_number": "615-570-9959",
"fax_number": "646-859-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3348 PEACHTREE RD NE STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261682",
"telephone_number": "615-570-9959",
"fax_number": "646-859-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTMAN",
"first_name": "JERON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-16-23062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.