Active NPI
Glynice James
- Behavior Technician
- Lawrenceville, GA
National Provider Identifier
1932987302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-298253
- Practice address
- 2387 Huntcrest Way
Lawrenceville, GA 30043-8126 - Phone
- (678) 648-7644
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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-23-298253 | GA | Primary |
Addresses
Primary practice location
2387 Huntcrest Way
Lawrenceville, GA 30043-8126
Mailing address
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Phone (678) 648-7644
Other practice location 1
2849 Henderson Mill Rd
Atlanta, GA 30341-5772
Phone (706) 842-5330
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-23-298253 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1932987302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 SHILOH RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051645",
"telephone_number": "678-648-7644",
"fax_number": "706-842-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 HUNTCREST WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438126",
"telephone_number": "678-648-7644"
}
],
"practiceLocations": [
{
"address_1": "2849 Henderson Mill Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303415772",
"country_code": "US",
"telephone_number": "706-842-5330",
"fax_number": "706-842-5340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "GLYNICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-23-298253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.