Organization
BEHAVIORAL MODIFICATION SPECIALISTS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA E COLLINS M.ED. (BEHAVIOR SUPPORT CONSULTANT)
(678) 453-6166
Entity
Organization
Contact information
Practice address
809 BLACK DIAMOND DR, MCDONOUGH, GA 30253-8821
(678) 984-6166
(888) 209-4480
Mailing address
809 BLACK DIAMOND DR, MCDONOUGH, GA 30253-8821
(678) 453-6166
(888) 209-4480
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
305S00000X
Point of Service
—
—
Other
Enumeration date
01/28/2015
Last updated
06/09/2015
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