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Deactivated NPI 1720658263 Deactivated / Inactive NPI Female Practitioner

Noushin Mannan

Speech-Language Pathologist • Alpharetta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Noushin Mannan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2021
NPI Deactivation Date May 27, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Noushin Mannan was a registered Speech-Language Pathologist practicing in Alpharetta, GA. Throughout an active medical career spanning 4 years, Noushin Mannan provided care at the practice location at 11940 ALPHARETTA HWY until profile deactivation on 2025-05-27.

Practice Location & Contact Primary Location

Practice Address

11940 Alpharetta Hwy

Alpharetta, GA 30009

Telephone 4705094557
Associated Practice Facility / Clinic
🏢 Shelland Facility NPI 1154330306

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Alpharetta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
159 Specialists

Practicing in Alpharetta, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA PCET004315

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Analyst

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.

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kelsey Mayo , DPT

Physical Therapist

NPI 1104595271

Doctor of Physical Therapy

Michelle Allen

Occupational Therapist

NPI 1164903217

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 03, 2025

Registered at 11940 ALPHARETTA HWY, ALPHARETTA, GA 30009 (Tel: 4705094557)

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Updated Business Mailing Address July 03, 2025

Registered at 2666 TABBY WALK, MARIETTA, GA 30062 (Tel: 8665234268)

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Provider Name / Credentials Updated July 03, 2025

Recorded as NOUSHIN MANNAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Behavior Analyst

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NPI Profile Deactivated May 27, 2025

Record deactivated on May 27, 2025

NPI Profile Active June 28, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 28, 2021

Registered at 1519 JOHNSON FERRY RD STE 100, MARIETTA, GA 300626410 (Tel: 8665234268)

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Updated Business Mailing Address June 28, 2021

Registered at 399318, SAN FRANCISCO, CA 941399318 (Tel: 8665234268)

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Provider Name / Credentials Updated June 28, 2021

Recorded as NOUSHIN MANNAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration June 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720658263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2021
Last Update: July 03, 2025
Deactivation Date: May 27, 2025
Sole Proprietor: Yes

Mailing Address

2666 Tabby Walk

Marietta, GA 30062

Phone: 8665234268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.