Organization
ESSENTIAL BEHAVIOR GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA COOPER (EXECUTIVE DIRECTOR)
(470) 419-8442
Entity
Organization
Contact information
Practice address
2440 FAIRBURN RD SW STE 101, ATLANTA, GA 30331-5256
(470) 419-8442
Mailing address
2440 FAIRBURN RD SW STE 101, ATLANTA, GA 30331-5256
(470) 419-8442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
08/18/2021
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