Organization
GEORGIA BEHAVIOR ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BENEDEK (CEO)
(718) 366-6073
Entity
Organization
Contact information
Practice address
5555 GLENRIDGE CONNECTOR STE 200, ATLANTA, GA 30342-4815
(470) 361-2000
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/14/2018
Last updated
07/15/2019
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