| Behavior Analysis and Intervention Center | |
|
4080 Vine Ridge Dr Powder Springs GA 30127-1788 | |
| (404) 436-8043 | |
| (404) 500-0506 |
| Full Name | Behavior Analysis and Intervention Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4080 Vine Ridge Dr, Powder Springs, Georgia |
| Authorized Official Name and Position | Zakira Golden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4045654344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis and Intervention Center Po Box 1602 Powder Springs GA 30127-7520 Ph: (404) 565-4344 | Behavior Analysis and Intervention Center 4080 Vine Ridge Dr Powder Springs GA 30127-1788 Ph: (404) 436-8043 |
| NPI Number | 1932746757 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 09/07/2020 |
| Certification Date | 09/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932746757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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