Behavior Essentials of North Georgia, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-11705 Issued in GA

Legal business name

BEHAVIOR ESSENTIALS OF NORTH GEORGIA, LLC

Practice address

2192 Waverly CT
Jonesboro, GA 30236-3900

Phone

(404) 985-9553

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Jenny Rooks

Title

Owner and Behavior Analyst

Phone

(404) 309-3308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1922425537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 WAVERLY CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363900",
            "telephone_number": "404-985-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2192 WAVERLY CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363900",
            "telephone_number": "404-985-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR ESSENTIALS OF NORTH GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "ROOKS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER AND BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "404-309-3308"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-12-11705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.