Individual provider Active NPI

Sarah Allison Collum, MS

  • Behavior Analyst
  • Tucker, GA
National Provider Identifier
1972117877
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA000743 Issued in GA
Practice address
3581 Habersham at Northlake BLDG M
Tucker, GA 30084-4001
Phone
(470) 569-5942
Fax
(470) 569-5945
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA000743 GA Primary

Addresses

Primary practice location

3581 Habersham at Northlake BLDG M
Tucker, GA 30084-4001

Mailing address

1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489
Phone (770) 565-3045

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA000743GAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Village Autism Center LLC Behavior Analyst CurrentSince Sep 24, 2023 Accepting new patients

Locations

1642 Powers Ferry Rd SE
Ste 100
Marietta, GA 30067
Phone (770) 565-3045

3581 Habersham At Northlake
Bldg M
Tucker, GA 30084
Phone (470) 569-5942

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1972117877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679489",
            "telephone_number": "770-565-3045",
            "fax_number": "770-565-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 HABERSHAM AT NORTHLAKE BLDG M",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844001",
            "telephone_number": "470-569-5942",
            "fax_number": "470-569-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "SARAH",
        "middle_name": "ALLISON",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA000743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.