Behavioral Modification Specialists, LLC.
Community/Behavioral Health in Mcdonough, GA. Organization (NPI-2).
NPI number1447640446
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1447640446
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Modification Specialists, LLC.
- Organization subpart
- No
- Enumeration date
- Jan 28, 2015
- Last updated
- Jun 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | GA | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 305S00000X | Point of Service | – | – |
Practice location
809 Black Diamond DrMcdonough, GA 30253-8821
Phone 678-984-6166 · Fax 888-209-4480
Mailing address
809 Black Diamond DrMcdonough, GA 30253-8821
Phone 678-453-6166 · Fax 888-209-4480
Authorized official
Tonya E Collins
Behavior Support Consultant
6784536166
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