Healthcare Provider Details

I. General information

NPI: 1972467660
Provider Name (Legal Business Name): BETWEEN THE PIECES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 OKELLY ST SE
CONYERS GA
30012-5462
US

IV. Provider business mailing address

25 SHORT CIR
COVINGTON GA
30016-7698
US

V. Phone/Fax

Practice location:
  • Phone: 404-487-8203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ODESSA SEIVRIGHT
Title or Position: OWNER/BEHAVIOR ANALYST
Credential: BCBA
Phone: 847-810-9007