The Conner Group for Pediatric Therapies, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE CONNER GROUP FOR PEDIATRIC THERAPIES, LLC

Practice address

218 Central Ave N
Tifton, GA 31794-4345

Phone

(229) 396-5596

Fax

(229) 396-4971

NPI assigned

Apr 9, 2020

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Conner, BCBANPI 1043751696

Title

Board Certified Behavior Analyst

Phone

(229) 319-8910

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Conner, BCBA

  • Behavior Analyst
  • Ty Ty, GA
  • NPI 1043751696
  NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1952920001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CENTRAL AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944345",
            "telephone_number": "229-396-5596",
            "fax_number": "229-396-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CENTRAL AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944345",
            "telephone_number": "229-396-5596",
            "fax_number": "229-396-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNER GROUP FOR PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "229-319-8910",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Taylor, PA
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• Ted a McElroy OD, PC (Vision Source Tifton)
• Jon R Teegardin, NP-C
• Margaret Grace Testerman, PHARMD
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• Behavior Analyst in Tifton, GA
• Providers in Tifton, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.