Active NPI
Beehavior Therapy Effects, LLC
- Behavior Analyst
- Hazlehurst, GA
National Provider Identifier
1376362004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEEHAVIOR THERAPY EFFECTS, LLC
- Practice address
- 20 Hinson St Ste 5
Hazlehurst, GA 31539-6115 - Phone
- (407) 288-6888
- NPI assigned
- Oct 9, 2024
- Last updated
- Oct 9, 2024
- 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
- Eden Green
- Title
- Owner
- Phone
- (407) 288-6888
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
20 Hinson St Ste 5
Hazlehurst, GA 31539-6115
Mailing address
20 Hinson St Ste 5
Hazlehurst, GA 31539-6115
National Provider Directory
National Provider DirectoryLocations
20 Hinson St
Ste 5
Hazlehurst, GA 31539
Phone (209) 597-6489
Practitioners & affiliated clinicians
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.
-
- Behavior Analyst
- Hazlehurst, GA
- NPI 1306350335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1376362004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HINSON ST STE 5",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HINSON ST STE 5",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396115",
"telephone_number": "407-288-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEEHAVIOR THERAPY EFFECTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "EDEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-288-6888"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.