Supported Employment Specialists

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SUPPORTED EMPLOYMENT SPECIALISTS

Practice address

615 Roswell St NE
Suite 110
Marietta, GA 30060-2196

Phone

(770) 499-2172

Fax

(678) 354-2670

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Danna Kaye Long

Title

Ceo

Phone

(770) 499-2172

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053473405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ROSWELL ST NE",
            "address_2": "SUITE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602196",
            "telephone_number": "770-499-2172",
            "fax_number": "678-354-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ROSWELL ST NE",
            "address_2": "SUITE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602196",
            "telephone_number": "770-499-2172",
            "fax_number": "678-354-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED EMPLOYMENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DANNA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-499-2172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.