Healthcare Provider Details

I. General information

NPI: 1871241893
Provider Name (Legal Business Name): AKAMAI RESOURCE AND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WHITE PINES DR
ALPHARETTA GA
30004-5658
US

IV. Provider business mailing address

105 WHITE PINES DR
ALPHARETTA GA
30004-5658
US

V. Phone/Fax

Practice location:
  • Phone: 808-429-2893
  • Fax: 404-738-1455
Mailing address:
  • Phone: 808-429-2893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LUANA J BARTON
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.ED., BCBA
Phone: 808-429-2893