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General NPI Number Information
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NPI Number | 1154207967
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Entity Type | Organization
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Legal Business Name | SUNSHINE BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1351 DUKES CREEK DR NW
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City | KENNESAW
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State | GA
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Zip | 30152-8232
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Country | US
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Telephone | 850-980-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 DUKES CREEK DR NW
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City | KENNESAW
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State | GA
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Zip | 30152-8232
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Country | US
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Telephone | 850-980-7979
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER/CLINICAL DIRECTOR
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Name | MR. GATAVIUS PRICE
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Credential | MPH, BCBA
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Telephone | 404-500-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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