Healthcare Provider Details

I. General information

NPI: 1851205553
Provider Name (Legal Business Name): BEHAVIORAL HEALTH FIELD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 JAMESTOWN RD STE 202
WILLIAMSBURG VA
23185-3391
US

IV. Provider business mailing address

1401 GEORGIAN PARK STE 220
PEACHTREE CITY GA
30269-6974
US

V. Phone/Fax

Practice location:
  • Phone: 877-438-1265
  • Fax: 470-977-2737
Mailing address:
  • Phone: 877-438-1265
  • Fax: 470-977-2737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAK GONZALEZ MARTIN
Title or Position: CEO/CTO
Credential:
Phone: 470-742-4638