Organization
RESPECT BEHAVIOR THERAPY
Active
Parent organization
RESPECT BEHAVIOR THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESPECT BEHAVIOR THERAPY
Authorized official
STACY ANN SAMUELS (REGIONAL DIRECTOR)
(943) 200-0016
Entity
Organization
Contact information
Practice address
4868 GA HIGHWAY 85, FOREST PARK, GA 30297-2473
(943) 200-0016
Mailing address
4868 GA HIGHWAY 85, FOREST PARK, GA 30297-2473
(943) 200-0016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/19/2022
Last updated
12/27/2022
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