Advant Therapy Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADVANT THERAPY SERVICES LLC

Practice address

4827 Old National Hwy
PMB 1619
College Park, GA 30337

Phone

(732) 822-8487

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By 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

Mark Sax

Title

Owner

Phone

(732) 822-8487

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1194360768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 OLD NATIONAL HWY",
            "address_2": "PMB 1619",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 OLD NATIONAL HWY",
            "address_2": "PMB 1619",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30337",
            "telephone_number": "732-822-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "SAX",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-822-8487"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in College Park, GA
• Providers in College Park, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.