NPIMap

Organization Active NPI

Respect Behavior Therapy

  • Community/Behavioral Health Agency
  • Forest Park, GA
National Provider Identifier
1114639333
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESPECT BEHAVIOR THERAPY
Practice address
4868 Ga Highway 85
Forest Park, GA 30297-2473
Phone
(943) 200-0016
NPI assigned
Dec 19, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RESPECT BEHAVIOR THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Stacy Ann SamuelsNPI 1992067755
Title
Regional Director
Phone
(943) 200-0016

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X
Early Intervention Provider Agency 252Y00000X
Behavior Analyst 103K00000X
Community/Behavioral Health Agency 251S00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4868 Ga Highway 85
Forest Park, GA 30297-2473

Mailing address

4868 Ga Highway 85
Forest Park, GA 30297-2473
Phone (943) 200-0016

National Provider Directory

National Provider Directory
Tax ID family
Respect Behavior Therapy2 organizations share this tax ID, including this one
Part of
Respect Behavior Therapy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4868 Georgia Highway 85
Forest Park, GA 30297
Phone (943) 200-0016

4868 Georgia Highway 85
Ste 100
Forest Park, GA 30297
Phone (478) 888-5851

1115 Mount Zion Rd
Ste M
Morrow, GA 30260
Phone (943) 200-0016

8735 Dunwoody Pl
Ste 4895
Sandy Springs, GA 30350

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1114639333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 GA HIGHWAY 85",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972473",
            "telephone_number": "943-200-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 GA HIGHWAY 85",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972473",
            "telephone_number": "943-200-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPECT BEHAVIOR THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESPECT BEHAVIOR THERAPY",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "STACY ANN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "943-200-0016"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.