Organization
P E A S BEHAVIOR GROUP
Active
Organization
P E A S BEHAVIOR GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADJA HOLMES (FOUNDER/CEO)
(404) 913-6337
Entity
Organization
Contact information
Practice address
5041 DALLAS HWY STE 703, POWDER SPRINGS, GA 30127-6458
(404) 913-6337
(404) 393-7473
Mailing address
5041 DALLAS HWY STE 703, POWDER SPRINGS, GA 30127-6458
(404) 913-6337
(404) 393-7473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/01/2022
Last updated
09/05/2024
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