Healthcare Provider Details

I. General information

NPI: 1144032152
Provider Name (Legal Business Name): SHIFTINGGEARS CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1488 BETHAVEN RD
RIVERDALE GA
30296-2151
US

IV. Provider business mailing address

1488 BETHAVEN RD
RIVERDALE GA
30296-2151
US

V. Phone/Fax

Practice location:
  • Phone: 404-707-0831
  • 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
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BRIANNA BILLS
Title or Position: CEO/BCBA
Credential:
Phone: 404-707-0831