Healthcare Provider Details

I. General information

NPI: 1992630131
Provider Name (Legal Business Name): LEAH HARTY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POINTE RIDGE DR
SANDY SPRINGS GA
30328-2755
US

IV. Provider business mailing address

25 POINTE RIDGE DR
SANDY SPRINGS GA
30328-2755
US

V. Phone/Fax

Practice location:
  • Phone: 833-354-7722
  • Fax: 888-838-8656
Mailing address:
  • Phone: 833-354-7722
  • Fax: 888-838-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90792
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: