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NPI Code Detail

MEDICARE: BEHAVIORAL SCIENCE CENTER, LLC

MEDICARE: BEHAVIORAL SCIENCE CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2103T00000XPsychologist
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336705961
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL SCIENCE CENTER, LLC
Provider Business Mailing Address
First Line : 3623 CALVIN DRIVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7915
Country : US
Telephone Number : 706-940-5100
Fax Number : 762-208-7512
Provider Business Practice Location Address
First Line : 3623 CALVIN DRIVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7915
Country : US
Telephone Number : 706-940-5100
Fax Number : 762-208-7512
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. SHELLEY D WALLS
Credential : PHD
Telephone Number : 706-940-5100
Provider Enumeration Date : 05/20/2019
Last Update Date : 03/17/2023

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Directions to “BEHAVIORAL SCIENCE CENTER, LLC ” Practice Location

Language Start Address Practice Location
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