Organization
EAGLE BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DOUGLAS STOUT (CEO)
(470) 846-8160
Entity
Organization
Contact information
Practice address
5929 LONDON TRCE, FLOWERY BRANCH, GA 30542-4500
(470) 846-8160
Mailing address
5929 LONDON TRCE, FLOWERY BRANCH, GA 30542-4500
(470) 846-8160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/30/2025
Last updated
12/31/2025
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