Village Behavior Analysis, Llc
LBN: Village Autism Center Llc
Village Behavior Analysis, Llc is an health care organization with primary practice located at 4994 Lower Roswell Rd Ste 10 , Marietta GA 30068-4332. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty.
Village Autism Center Llc can be contacted via phone (770) 565-3045, or through Delfs, Caitlin H via phone (404) 840-2228.
Contact Information
Primary practice address
4994 Lower Roswell Rd Ste 10
Marietta GA 30068-4332
Phone: (770) 565-3045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY003346 | Georgia |
Profile Details
| NPI number | 1962914465 |
|---|---|
| LBN Legal business name | Village Autism Center Llc |
| DBA Doing business as | Village Behavior Analysis, Llc |
| Authorized official | Delfs, Caitlin H PHD, BCBA-D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2017 |
| Last updated | Nov 2nd, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962914465 | NPPES |
| Georgia | MEDICAID | 8402976406A |
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