Organization
I PEEP BXS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONTA HALLMON BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(762) 622-8360
Entity
Organization
Contact information
Practice address
756 W PEACHTREE ST NW FL 4, ATLANTA, GA 30308-2378
(762) 622-8360
(888) 720-3196
Mailing address
PO BOX 19525, ATLANTA, GA 30325-0525
(762) 622-8360
(888) 720-3196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/23/2021
Last updated
11/17/2023
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