Organization
UPWARD AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAVEN THOMAS MS, BCBA (OWNER/CENTER DIRECTOR)
(502) 338-4266
Entity
Organization
Contact information
Practice address
4400 BROWNSVILLE RD STE #105 #3080, POWDER SPRINGS, GA 30127-8902
(470) 333-2051
(678) 669-2694
Mailing address
4400 BROWNSVILLE RD STE #105 #3080, POWDER SPRINGS, GA 30127-8902
(470) 333-2051
(678) 669-2694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32530
BCBA CERTIFICATE
GA
Enumeration date
08/19/2021
Last updated
04/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us