Organization
ATLANTA AUTISM CENTER INC
Active
Other names
Atlanta Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PERRY (CREDENTIALING MANAGER)
(833) 628-8476
Entity
Organization
Contact information
Practice address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Mailing address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
(770) 200-1563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/25/2021
Last updated
01/12/2022
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