Healthcare Provider Details

I. General information

NPI: 1366366031
Provider Name (Legal Business Name): BEVERLY SALGADO-CATALAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 LAWRENCEVILLE SUWANEE RD STE A3
SUWANEE GA
30024-7488
US

IV. Provider business mailing address

1430 HORIZON PKWY
BUFORD GA
30518-5044
US

V. Phone/Fax

Practice location:
  • Phone: 470-350-2003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2837141
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: