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Devyn B Phan

Behavior Analyst β€’ Norcross, GA

Active NPI 1659947406 Individual Practitioner Female Practitioner
Practice location in NPPES

1750 Beaver Ruin Rd Ste 500
Norcross, GA 300932813

Call 6787599665 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

1750 Beaver Ruin Rd Ste 500

Norcross, GA 300932813

Telephone 6787599665
Organization at the Same NPPES Address or Phone
Centria Healthcare Llc Facility NPI 1053641498

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

NPI first issued

2021

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 Norcross and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norcross

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 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: 2025-08-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

10 Historical Events
πŸ“
Updated Practice Location August 13, 2025

Registered at 1750 BEAVER RUIN RD STE 500, NORCROSS, GA 300932813 (Tel: 6787599665)

πŸ“
Updated Business Mailing Address August 13, 2025

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345312

πŸ‘€
Provider Name / Credentials Updated August 13, 2025

Recorded as DEVYN PHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Behavior Analyst

βœ…
NPI Profile Active June 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2021

Registered at 3730 GLOUCESTER DR, TUCKER, GA 300847203 (Tel: 6787599665)

πŸ“
Business Mailing Address (Initial Record) June 02, 2021

Registered at 3730 GLOUCESTER DR, TUCKER, GA 300847203 (Tel: 6787599665)

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2021

Recorded as DEVYN WITTMEYER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 02, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659947406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2021
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

27777 Inkster Rd Ste 100

Farmington Hills, MI 483345312

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.