Organization
VILLAGE AUTISM CENTER LLC
Active
Other names
Village Behavior Analysis, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN H DELFS PHD, BCBA-D (OWNER, EXECUTIVE DIRECTOR)
(404) 840-2228
Entity
Organization
Contact information
Practice address
1642 POWERS FERRY RD SE STE 100, MARIETTA, GA 30067-9489
(770) 565-3045
Mailing address
1642 POWERS FERRY RD SE STE 100, MARIETTA, GA 30067-9489
(770) 565-3045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY003346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840297646B
—
GA
Enumeration date
10/25/2017
Last updated
12/04/2025
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