Freemans Early Intervention Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FREEMANS EARLY INTERVENTION SERVICES

Practice address

13 Peach St
Butler, GA 31006

Phone

(770) 375-0959

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By 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

Ieisha Alzanam

Title

RBT / Owner

Phone

(770) 375-0959

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Ieisha Freeman, LBA

  • Behavior Analyst
  • Butler, GA
  • NPI 1518575299
  NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1295347888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLANTATION DR",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310065503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PEACH ST",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "31006",
            "telephone_number": "770-375-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMANS EARLY INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ALZANAM",
        "authorized_official_first_name": "IEISHA",
        "authorized_official_title_or_position": "RBT / OWNER",
        "authorized_official_telephone_number": "770-375-0959"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Butler, GA
• Providers in Butler, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.