Organization
BEHAVIOR ANALYSIS AND INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKIRA GOLDEN (EXECUTIVE DIRECTOR)
(404) 565-4344
Entity
Organization
Contact information
Practice address
4080 VINE RIDGE DR, POWDER SPRINGS, GA 30127-1788
(404) 436-8043
(404) 500-0506
Mailing address
PO BOX 1602, POWDER SPRINGS, GA 30127-7520
(404) 565-4344
(404) 500-0506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
09/07/2020
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