Organization
MOMENTUM BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN BUTLER MS, BCBA (CEO)
(404) 290-3422
Entity
Organization
Contact information
Practice address
132 GOLDEN SOUTH PKWY, DALLAS, GA 30157-1252
(404) 290-3422
(678) 303-0347
Mailing address
831 GOVERNMENT FARM RD, ROCKMART, GA 30153-4419
(404) 290-3422
(678) 303-0347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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