Individual provider Active NPI

Jessica Marie Taylor

  • Behavior Analyst
  • Sandy Springs, GA
National Provider Identifier
1902487226
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-71392 Issued in GA
Practice address
8601 Dunwoody PL Ste 126
Sandy Springs, GA 30350-2517
Phone
(404) 295-7941
NPI assigned
Apr 19, 2021
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 1-24-71392 GA Primary

Addresses

Primary practice location

8601 Dunwoody PL Ste 126
Sandy Springs, GA 30350-2517

Mailing address

8601 Dunwoody PL Ste 126
Atlanta, GA 30350-2517
Phone (404) 295-7941

Other practice location 1

1845 Satellite Blvd Ste 800
Duluth, GA 30097-6286
Phone (404) 295-7941

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1902487226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 DUNWOODY PL STE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502517",
            "telephone_number": "404-295-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 DUNWOODY PL STE 126",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502517",
            "telephone_number": "404-295-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Satellite Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300976286",
            "country_code": "US",
            "telephone_number": "404-295-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-24-71392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.