NPIMap

Organization Active NPI

Dogwood Autism Services, LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1437674587
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DOGWOOD AUTISM SERVICES, LLC
Practice address
5163 Roswell Rd
Atlanta, GA 30342-2206
Phone
(877) 288-4760
Fax
(404) 600-1259
NPI assigned
Aug 10, 2017
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Brooke Ebel, BCBANPI 1467983353
Title
Founding Director
Phone
(877) 288-4760

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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5163 Roswell Rd
Atlanta, GA 30342-2206

Mailing address

750 Hammond Dr
Building 7 Suite 100
Atlanta, GA 30328
Phone (678) 753-5598

Other practice location 1

112 Jefferson St
Newnan, GA 30263
Phone (877) 288-4760

Other practice location 2

4080 McGinnis Ferry Rd Ste 301
Alpharetta, GA 30005-1737
Phone (877) 288-4760

Other practice location 3

1275 Minhinette Dr
Roswell, GA 30075-7217
Phone (877) 288-4760

National Provider Directory

National Provider Directory

Locations

4080 McGinnis Ferry Rd
Ste 301
Alpharetta, GA 30005
Phone (678) 710-2324

5280 Snapfinger Park Dr
Decatur, GA 30035
Phone (404) 823-7743

3136 Golf Ridge Blvd
Douglasville, GA 30135
Phone (870) 288-4760

1565 Highway 34 E
Newnan, GA 30265
Phone (470) 241-1408

1575 Highway 34 E
Newnan, GA 30265
Phone (770) 252-5276

1275 Minhinette Dr
Roswell, GA 30075
Phone (877) 288-4706

5163 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 753-5598

585 Molly Ln
Woodstock, GA 30189

Practitioners & affiliated clinicians

Practitioners 323

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.

View all 323

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1437674587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR",
            "address_2": "BUILDING 7 SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-753-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422206",
            "telephone_number": "877-288-4760",
            "fax_number": "404-600-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30263",
            "country_code": "US",
            "telephone_number": "877-288-4760",
            "fax_number": "404-600-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 McGinnis Ferry Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300051737",
            "country_code": "US",
            "telephone_number": "877-288-4760",
            "fax_number": "404-600-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Minhinette Dr",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300757217",
            "country_code": "US",
            "telephone_number": "877-288-4760",
            "fax_number": "404-600-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOGWOOD AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "EBEL",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "FOUNDING DIRECTOR",
        "authorized_official_telephone_number": "877-288-4760",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.