Sarah Bornemiss, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10126 Issued in GA

Practice address

2295 Towne Lake Pkwy
Suite 116-158
Woodstock, GA 30189-5520

Phone

(770) 508-5187

Fax

(180) 088-3926

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Pieces Behavior Associates

  • Behavior Analyst
  • Woodstock, GA
  • NPI 1194155044
  NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1962835579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY",
            "address_2": "SUITE 116-158",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-508-5187",
            "fax_number": "180-088-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY",
            "address_2": "SUITE 116-158",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-508-5187",
            "fax_number": "180-088-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNEMISS",
        "first_name": "SARAH",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-12-10126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Marie Bollinger, PHARM D
• Lauren Bolton, PHARMD
• Staci Bond, L.C.S.W.
• Maryah D. Booker
• David Borem, RBT
• Stephanie Handley Borrillo, LMSW
• Meghan Bouma, RBT
• Morgan Paige Bouwkamp, OTD, OTR/L
• Jaycee D Bowers, LPN
• Brittany Bowman

• All providers in Woodstock, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.