The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Atlanta and Georgia

451 active clinicians are listed under Behavior Analyst with a practice address in Atlanta, GA (2,842 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Atlanta

0% of these 451 clinicians have the CMS telehealth indicator.

0% of these 451 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-09

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-16-23698

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events

📍

Updated Practice Location January 09, 2024

Registered at 1435 MERIDIAN ST SE, ATLANTA, GA 303171725 (Tel: 7702683909)

📍

Updated Business Mailing Address January 09, 2024

Registered at 1435 MERIDIAN ST SE, ATLANTA, GA 303171725 (Tel: 7702683909)

📍

Updated Practice Location August 31, 2022

Registered at 1215 HIGHTOWER TRL STE B120, ATLANTA, GA 303506205 (Tel: 8665234268)

📍

Updated Business Mailing Address August 31, 2022

Registered at DEPT LA 22763, PASADENA, CA 911852763 (Tel: 8665234268)

✅

NPI Profile Active July 21, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 21, 2017

Registered at 6505 SHILOH RD STE 100, ALPHARETTA, GA 300051645 (Tel: (678) 648-7644)

📍

Updated Practice Location July 21, 2017

Registered at 5400 CHAMBLEE DUNWOODY RD, SUITE 7, DUNWOODY, GA 30338 (Tel: 4044803842)

👤

Provider Name / Credentials Updated July 21, 2017

Recorded as GEORGIA BEAUREGARD, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2017

Behavior Analyst (license number reported to NPPES: GA 1-16-23698)

✅

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 13, 2016

Registered at 5400 CHAMBLEE DUNWOODY RD, SUITE 7, DUNWOODY, GA 30338 (Tel: 4044803842)

📍

Business Mailing Address (Initial Record) December 13, 2016

Registered at PO BOX 51322, BOWLING GREEN, KY 421025622 (Tel: 2707779283)

👤

Provider Name / Credentials (Initial Record) December 13, 2016

Recorded as GEORGIA GLIDEWELL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Behavior Analyst (license number reported to NPPES: GA 1-16-23698)

🟢

Initial NPI Registration & Enumeration December 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689118473

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2016

Last Update: January 09, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1435 Meridian St Se

Atlanta, GA 303171725

Phone: 7702683909

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.