NPI 1669011516 · live from the CMS NPI Registry
Octavia Antoine
Behavior Analyst in Smyrna, GA. National Provider Identifier 1669011516, active.
NPI record
| NPI | 1669011516 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1155 Concord Rd Se Ste 220, Smyrna, GA 30080 |
| Practice phone | 470-666-5220 |
| Mailing address | 300 International Pkwy Ste 200, Lake Mary, FL 32746 |
| Enumerated | December 24, 2019 |
| Last updated | July 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.