Iflourish Behavior Solutions

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

IFLOURISH BEHAVIOR SOLUTIONS

Practice address

2754 Laurel Valley TRL
Buford, GA 30519-8137

Phone

(470) 955-0602

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Alexis Crawford, BCBANPI 1396528865

Title

Bcba/Ceo

Phone

(470) 955-0602

Specialties & licenses 4

Addresses

Practitioners 1

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

• Alexis La'Kendra Crawford, BCBA

  • Behavior Analyst
  • Duluth, GA
  • NPI 1396528865
  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1235976507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 LAUREL VALLEY TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198137",
            "telephone_number": "470-955-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 LAUREL VALLEY TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198137",
            "telephone_number": "470-955-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFLOURISH BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "BCBA/CEO",
        "authorized_official_telephone_number": "470-955-0602",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.