Active NPI
Taylor Depol, RBT
- Behavior Technician
- Savannah, GA
National Provider Identifier
1942821483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-117250
- Practice address
- 9111 White Bluff Rd
Savannah, GA 31406-4606 - Phone
- (678) 381-3677
- NPI assigned
- May 6, 2020
- 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-20-117250 | GA | Primary |
Addresses
Primary practice location
9111 White Bluff Rd
Savannah, GA 31406-4606
Mailing address
PO Box 3
Inman, SC 29349-0003
Phone (813) 763-5469
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-20-117250 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1942821483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "INMAN",
"state": "SC",
"postal_code": "293490003",
"telephone_number": "813-763-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 WHITE BLUFF RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064606",
"telephone_number": "678-381-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOL",
"first_name": "TAYLOR",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-20-117250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
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- Amber N Depew
- Deborah Depue, SLP
- Henry Clark Deriso, M.D.
- Caroline Banta Derosa, APRN
- Derrell W. Ray M.D. P.C.
- Astha Desai
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.