Brightside Behavioral Associates, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRIGHTSIDE BEHAVIORAL ASSOCIATES, LLC

Doing business as

Brightside Behavioral Associates

Practice address

4443 Ga Highway 219
Fortson, GA 31808-4523

Phone

(762) 261-0585

Fax

(706) 441-3328

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By 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

Whitni Duncanson, BCBANPI 1811537723

Title

Clinical Director, Bcba

Phone

(678) 510-6502

Specialties & licenses 1

Addresses

Other names 1

• Brightside Behavioral Associates Doing business as

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.

• Whitni Cox Duncanson, BCBA

  • Behavior Analyst
  • Acworth, GA
  • NPI 1811537723
  NPD Authorized official

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1316600513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 GA HIGHWAY 219",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318084523",
            "telephone_number": "762-261-0585",
            "fax_number": "706-441-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4443 GA HIGHWAY 219",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318084523",
            "telephone_number": "762-261-0585",
            "fax_number": "706-441-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE BEHAVIORAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "WHITNI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, BCBA",
        "authorized_official_telephone_number": "678-510-6502",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Behavioral Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Ahrens
• Judy R Barnett, CRNA
• Cassandra Body
• Shannon Bravo
• Caresouth Hospice, LLC (Enhabit Hospice)
• Craig Miller Donalson
• Leona Ramsey Dorsey
• Shae Marie Holmes, MS, ST
• Donna M Jacobs, LSWAIC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.