Infinity Behavioral Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INFINITY BEHAVIORAL SERVICES, LLC

Doing business as

Success on the Spectrum

Practice address

107 Upper Riverdale Rd SW
Riverdale, GA 30274-2504

Phone

(770) 450-5467

NPI assigned

Sep 6, 2022

Last updated

Feb 22, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cayla Clark, BCBANPI 1639721038

Title

Owner

Phone

(678) 481-2390

Specialties & licenses 3

Addresses

Other names 1

• Success on the Spectrum Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cayla Clark

  • Behavior Analyst
  • Riverdale, GA
  • NPI 1639721038
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1053032268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 REDAN SQ",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742504",
            "telephone_number": "770-450-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-481-2390",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success on the Spectrum",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Success on the Spectrum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.