PROGRESSIVE BEHAVIOR CONSULTING LLC


Address: 6 Roseberry Cir, Port Wentworth, GA 31407-5612
Phone: 8505675657

PROGRESSIVE BEHAVIOR CONSULTING LLC (NPI# 1780063651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780063651
Entity Type Organization
Organization Name PROGRESSIVE BEHAVIOR CONSULTING LLC
Practice Address 6 Roseberry Cir
Port Wentworth
GA 31407-5612
Practice Telephone 8505675657
Mailing Telephone 8505675657
Enumeration Date 2015-05-26
Last Update Date 2015-05-26
Authorized Official Name BRANDON CLARK (BEHAVIOR ANALYST)
Authorized Official Telephone 8505675657
Authorized Official Credential M.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 6 ROSEBERRY CIR
City PORT WENTWORTH
State GA
Zip Code 31407-5612

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1982219523 Future Seekers, Inc. Community/Behavioral Health 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 2020-09-10
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1285247270 Hudu Yoga & Therapy Community/Behavioral Health 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 2020-08-28
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Competitor

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City PORT WENTWORTH
Zip Code 31407

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Dataset Information

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.

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