Radiance Behavior Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

RADIANCE BEHAVIOR THERAPY, LLC

Practice address

3901 Mary Eliza Trce NW Ste 202
Marietta, GA 30064-1096

Phone

(470) 615-6277

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Victoria LadrondeguevaraNPI 1962052100

Title

Owner

Phone

(404) 480-8790

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Victoria Ladrondeguevara

  • Behavior Analyst
  • Douglasville, GA
  • NPI 1962052100
  NPD (past) Authorized official

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1114706132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641096",
            "telephone_number": "470-615-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARY ELIZA TRCE NW STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641096",
            "telephone_number": "470-615-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE BEHAVIOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "LADRONDEGUEVARA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-480-8790"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jude Rabito, MD
• John Warren Rabson, DC
• Erika Leigh Rademacher, PA-C
• Mary Rader, LPC
• Julea Grace Radford, PA-C
• Radiance Light Systems, LLC
• Radiant Life Home Care LLC
• Radin Chiropractic Inc
• David Arthur Radin, D.C.
• Diane A Radin, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.