Active NPI
I Heart Therapy, LLC
- Behavior Analyst
- Gainesville, GA
National Provider Identifier
1336766831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- I HEART THERAPY, LLC
- Practice address
- 2611 Gillsville Hwy
Gainesville, GA 30507-7940 - Phone
- (901) 598-0190
- NPI assigned
- Jun 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominic Holt, M.S.
- Title
- Behavior Analyst
- Phone
- (901) 598-0190
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2611 Gillsville Hwy
Gainesville, GA 30507-7940
Mailing address
2611 Gillsville Hwy
Gainesville, GA 30507-7940
Phone (901) 598-0190
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Gainesville, GA
- NPI 1649742826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593475200000",
"number": "1336766831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 GILLSVILLE HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305077940",
"telephone_number": "901-598-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 GILLSVILLE HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305077940",
"telephone_number": "901-598-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I HEART THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "DOMINIC",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "901-598-0190",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.