Individual provider Active NPI

Emily Rhodes Avera, M.A., BCBA

  • Behavior Analyst
  • Columbus, GA
National Provider Identifier
1972152122
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68627 Issued in GA
Practice address
3623 Calvin Dr
Columbus, GA 31904-7915
Phone
(706) 940-5100
Fax
(706) 221-5232
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-68627 GA Primary
Behavior Technician 106S00000X RBT-19-98792 GA

Addresses

Primary practice location

3623 Calvin Dr
Columbus, GA 31904-7915

Mailing address

3623 Calvin Dr
Columbus, GA 31904-7915
Phone (706) 940-5100

Other names 1

  • Mrs. Emily Grace Rhodes Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
RBT-19-98792GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Science Center, LLC Behavior Analyst CurrentSince Oct 15, 2023 Accepting new patients
Ready to Learn ABA, LLC Behavior Analyst PastSince Sep 1, 2019 Accepting new patients

Locations

3623 Calvin Dr
Columbus, GA 31904
Phone (706) 256-0273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1972152122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 CALVIN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047915",
            "telephone_number": "706-940-5100",
            "fax_number": "762-208-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 CALVIN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047915",
            "telephone_number": "706-940-5100",
            "fax_number": "706-221-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERA",
        "first_name": "EMILY",
        "middle_name": "RHODES",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-68627",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-19-98792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RHODES",
            "middle_name": "GRACE",
            "prefix": "MRS.",
            "credential": "M.A., BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

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

Verify at the official NPI Registry.