NPI Code Details Logo

NPI 1407798812

NPI 1407798812 : BEHAVIOR CENTRAL ABA : NEWNAN, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407798812
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BEHAVIOR CENTRAL ABA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/06/2026
-----------------------------------------------------
    Last Update Date     |    04/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    101 ASHLEY PARK DR APT I107 
-----------------------------------------------------
    City                 |    NEWNAN
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30263-3243
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-648-2221
-----------------------------------------------------
    Fax                  |    770-648-2221
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    101 ASHLEY PARK DR APT I107 
-----------------------------------------------------
    City                 |    NEWNAN
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30263-3243
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-648-2221
-----------------------------------------------------
    Fax                  |    770-648-2221
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER, CEO
-----------------------------------------------------
    Name                 |     JENNIFER KAYE JAMES 
-----------------------------------------------------
    Credential           |    BCBA
-----------------------------------------------------
    Telephone            |    770-648-2221
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.