NORTH GEORGIA AUTISM CENTER LLC. (NPI# 1578048385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578048385 |
| Entity Type | Organization |
| Organization Name | NORTH GEORGIA AUTISM CENTER LLC. |
| Practice Address |
3281 Mills Ridge Dr Canton GA 30114-7103 |
| Practice Telephone | 7654146227 |
| Mailing Telephone | 7654146227 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | BETHANY DANIELLE OLIVER CRAIG (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7654146227 |
| Authorized Official Credential | M.ED., BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3281 MILLS RIDGE DR |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669975579 | Bethany Oliver Craig | Behavioral Analyst | 3281 Mills Ridge Dr, Canton, GA 30114-7103 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663947 | Samantha Ackerman | Behavioral Analyst | 535 Riverstone Parkway Suite 101, Canton, GA 30114-2566 | 2019-01-11 |
| 1306324702 | Michael B Carrauthers | Behavioral Analyst | 337 Sylvan Dr, Canton, MI 48188-1596 | 2018-07-30 |
| 1669975579 | Bethany Oliver Craig | Behavioral Analyst | 3281 Mills Ridge Dr, Canton, GA 30114-7103 | 2018-03-16 |
| 1801303623 | A New Approach, Pllc | Behavioral Analyst | 1017 Turnpike St Ste 13, Canton, MA 02021-2828 | 2018-01-02 |
| 1487009981 | Deirdre A O'donnell | Behavioral Analyst | 2 Steeplechase Ln, Canton, MA 02021-1748 | 2016-05-03 |
| 1346615424 | Leanne Fontana Mailman | Behavioral Analyst | 16 Spoonwood Dr, Canton, CT 06019-2452 | 2015-12-01 |
| 1437536638 | Amanda Lawyer | Behavioral Analyst | 264 Harvard St, Canton, MI 48188-1025 | 2015-04-27 |
| 1336532969 | Amy Laura Brown | Behavioral Analyst | 140 E Marietta St Ste 301, Canton, GA 30114-3002 | 2015-03-06 |
| 1780081356 | Kendall Behavioral Services LLC | Behavioral Analyst | 5900 N Lilley Rd Ste 104, Canton, MI 48187-3695 | 2014-11-26 |
| 1558790048 | Deborah Hodgdon | Behavioral Analyst | 128 Market Ln, Canton, GA 30114-4547 | 2013-11-05 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.