NPIMap

Organization Active NPI

Georgia Regional Behavioral Services

  • Behavior Analyst
  • Lilburn, GA
National Provider Identifier
1083177430
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GEORGIA REGIONAL BEHAVIORAL SERVICES
Practice address
3993 Lawrenceville Hwy NW Ste 110
Lilburn, GA 30047-2831
Phone
(404) 407-5224
Fax
(404) 800-0093
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Chazity Murray, BCBANPI 1326493305
Title
Director/ Bcba
Phone
(808) 476-4536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3993 Lawrenceville Hwy NW Ste 110
Lilburn, GA 30047-2831

Mailing address

3484 Lachlan Dr
Snellville, GA 30078-6001
Phone (808) 476-4536

Other practice location 1

3484 Lachlan Dr
Snellville, GA 30078-6001
Phone (808) 476-4536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1083177430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 LACHLAN DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786001",
            "telephone_number": "808-476-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 110",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472831",
            "telephone_number": "404-407-5224",
            "fax_number": "404-800-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3484 Lachlan Dr",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300786001",
            "country_code": "US",
            "telephone_number": "808-476-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA REGIONAL BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "CHAZITY",
        "authorized_official_title_or_position": "DIRECTOR/ BCBA",
        "authorized_official_telephone_number": "808-476-4536",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.