Sunny Patel
Behavior Analyst in Marietta, GA. Individual provider (NPI-1).
NPI number1003472044
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1003472044
- Entity type
- Individual (NPI-1)
- Name
- Sunny Patel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2019
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1675 Terrell Mill Rd SeMarietta, GA 30067-8362
Phone 404-729-1485
Mailing address
129 Keswick Manor DrTyrone, GA 30290-1542
Phone 404-729-1485
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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