MEDICARE: LEARNING BEHAVIOR AND LOVE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106S00000X	Behavior Technician
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251E00000X	Home Health Agency
5	252Y00000X	Early Intervention Provider Agency
6	253Z00000X	In Home Supportive Care Agency
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700538279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEARNING BEHAVIOR AND LOVE

Provider Business Mailing Address
First Line	:	180 JACKSON ST NE APT 4116
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-7926
Country	:	US
Telephone Number	:	678-644-4543
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 JACKSON ST NE APT 4116
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-7926
Country	:	US
Telephone Number	:	678-644-4543
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANHELITA NEAL
Credential	:
Telephone Number	:	678-644-4543

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	03/09/2022

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Directions to “LEARNING BEHAVIOR AND LOVE ” Practice Location

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