Active NPI
David Matthew McKinney, BCBA
- Behavior Analyst
- Rome, GA
National Provider Identifier
1891577375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-87079
- Practice address
- 475 Watters St NE
Rome, GA 30161-5487 - Phone
- (770) 339-3475
- NPI assigned
- Oct 18, 2023
- 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 | 1-26-87079 | GA | Primary |
Addresses
Primary practice location
475 Watters St NE
Rome, GA 30161-5487
Mailing address
475 Watters St NE
Rome, GA 30161-5487
Phone (770) 339-3475
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": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1891577375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 WATTERS ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301615487",
"telephone_number": "770-339-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 WATTERS ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301615487",
"telephone_number": "770-339-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "DAVID",
"middle_name": "MATTHEW",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-18",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-26-87079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.