Healthcare Provider Details

I. General information

NPI: 1881558286
Provider Name (Legal Business Name): ANGELASSIST BEHAVIOR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 ROCKSRAM DR
BUFORD GA
30519-6454
US

IV. Provider business mailing address

2005 ROCKSRAM DR
BUFORD GA
30519-6454
US

V. Phone/Fax

Practice location:
  • Phone: 470-641-7817
  • Fax:
Mailing address:
  • Phone: 470-641-7817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA IRENE CHRISTMAS
Title or Position: OWNER
Credential:
Phone: 470-641-7817