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General NPI Number Information
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NPI Number | 1992459275
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Entity Type | Organization
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Legal Business Name | ANDERSON BEHAVIOR GROUP
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 3225 N POINT PKWY STE 201
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City | ALPHARETTA
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State | GA
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Zip | 30005-4725
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Country | US
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Telephone | 770-727-0244
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Fax | 770-727-0134
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Provider Business Mailing Address
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Address Line | 3225 N POINT PKWY STE 201
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City | ALPHARETTA
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State | GA
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Zip | 30005-4725
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Country | US
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Telephone | 770-727-0244
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Fax | 770-727-0134
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Authorized Official
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Title or Position | CEO
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Name | DR. TIFFANY SIOBHAN ANDERSON
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Credential | PSYD, BCBA
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Telephone | 504-427-8737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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