| Radiance Behavior Therapy, Llc | |
|
3901 Mary Eliza Trce Nw Ste 202 Marietta GA 30064-1096 | |
| (470) 615-6277 | |
| Not Available |
| Full Name | Radiance Behavior Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3901 Mary Eliza Trce Nw Ste 202, Marietta, Georgia |
| Authorized Official Name and Position | Victoria Ladrondeguevara (OWNER) |
| Authorized Official Contact | 4044808790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Behavior Therapy, Llc 3901 Mary Eliza Trce Nw Ste 202 Marietta GA 30064-1096 Ph: (470) 615-6277 | Radiance Behavior Therapy, Llc 3901 Mary Eliza Trce Nw Ste 202 Marietta GA 30064-1096 Ph: (470) 615-6277 |
| NPI Number | 1114706132 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114706132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Mt. Bethel Shepherd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4608 Lower Roswell Rd, Marietta, GA 30068 Phone: 678-571-5119 | |
Warnecke Professional Counseling, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2050 Roswell Rd, Marietta, GA 30062 Phone: 678-252-6115 Fax: 678-399-1678 | |
Powell Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 E Piedmont Rd, Suite 200, Pmb 5, Marietta, GA 30062 Phone: 404-403-6177 Fax: 404-393-6460 | |
Prime Behavior Analysts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Powder Springs St, Suite 130, Marietta, GA 30064 Phone: 404-695-3596 Fax: 404-935-5335 | |
Divine Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste G3, Marietta, GA 30062 Phone: 678-626-7207 | |
Neurotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste E31, Marietta, GA 30064 Phone: 470-217-7324 | |
Kate Hoover, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 N Forest Ave Ne, Marietta, GA 30060 Phone: 404-784-7586 |