Organization Active NPI

The Therapy Tree for Pediatrics, LLC

  • Behavior Analyst
  • Douglas, GA
National Provider Identifier
1366226235
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE THERAPY TREE FOR PEDIATRICS, LLC
Practice address
618 Bowens Mill Rd SW
Douglas, GA 31533-3926
Phone
(912) 331-0846
Fax
(678) 792-4894
NPI assigned
Aug 22, 2023
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Misty Brown
Title
Cfo
Phone
(912) 331-0846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

618 Bowens Mill Rd SW
Douglas, GA 31533-3926

Mailing address

618 Bowens Mill Rd SW
Douglas, GA 31533-3926
Phone (912) 331-0846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1366226235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "678-792-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "678-792-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY TREE FOR PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-331-0846"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.