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Jennifer Vanta , BCBA

Behavior Analyst β€’ Martinez, GA

Active NPI 1205573722 Individual Practitioner Female Practitioner
Practice location in NPPES

4115 Columbia Rd, Suite 5
Martinez, GA 309070410

Call 4028503586 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4115 Columbia Rd
Suite 5

Martinez, GA 309070410

Telephone 4028503586
Organization at the Same NPPES Address or Phone
The Kroger Co Facility NPI 1942234794

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Augusta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

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: NPI first issued

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; Medicare.gov, β€œDoes 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Martinez and Georgia

19 active clinicians are listed under Behavior Analyst with a practice address in Martinez, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Martinez

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-25-79946

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Secondary Practice Locations

4106 Columbia Rd Ste 101

Augusta, GA 309071482

Phone: 7064260583

1237 Augusta West Pkwy

Augusta, GA 309091807

Phone: 7626854340

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Chandra Johnson

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1073153532

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location October 21, 2025

Registered at 4115 COLUMBIA RD, SUITE 5, MARTINEZ, GA 309070410 (Tel: 4028503586)

πŸ“
Updated Practice Location August 21, 2025

Registered at 100 BULL ST STE 200, SAVANNAH, GA 314013378 (Tel: 4028503586)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2025

Behavior Analyst (license number reported to NPPES: GA 1-25-79946)

πŸ“
Updated Business Mailing Address March 20, 2025

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 4079157729)

πŸ‘€
Provider Name / Credentials Updated March 20, 2025

Recorded as JENNIFER VANTA, BCBA

πŸ“
Updated Practice Location July 01, 2024

Registered at 4106 COLUMBIA RD STE 101, AUGUSTA, GA 309071482 (Tel: 7064260583)

πŸ“
Updated Business Mailing Address July 01, 2024

Registered at 2801 WASHINGTON RD., STE 107 PB 105, AUGUSTA, GA 309092355

βœ…
NPI Profile Active May 31, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 4028503586)

πŸ“
Business Mailing Address (Initial Record) May 31, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2022

Recorded as JENNIFER VANTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 16, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205573722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: October 21, 2025
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 4079157729

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.