Samantha Brion Alcorn
Individual provider Active NPI Behavior Analyst · Tucker, GA
NPI 1003268947 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1003268947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-42293 (GA)
- Practice address
- 1775 Montreal Rd
Tucker, GA 30084-6724 - Phone
- (855) 772-8847
- NPI assigned
- Jul 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapyland LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-42293 | GA | Yes |
Addresses
Primary practice location
1775 Montreal Rd
Tucker, GA 30084-6724
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (855) 772-8847
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.