NPIMap

Organization Active NPI

Behavioral Modification Specialists, LLC.

  • Community/Behavioral Health Agency
  • McDonough, GA
National Provider Identifier
1447640446
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL MODIFICATION SPECIALISTS, LLC.
Practice address
809 Black Diamond Dr
McDonough, GA 30253-8821
Phone
(678) 984-6166
Fax
(888) 209-4480
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Mrs. Tonya E Collins, M.ED.NPI 1689049645
Title
Behavior Support Consultant
Phone
(678) 453-6166

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)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X GA Primary
Point of Service 305S00000X

Addresses

Primary practice location

809 Black Diamond Dr
McDonough, GA 30253-8821

Mailing address

809 Black Diamond Dr
McDonough, GA 30253-8821
Phone (678) 453-6166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1447640446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 BLACK DIAMOND DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538821",
            "telephone_number": "678-453-6166",
            "fax_number": "888-209-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BLACK DIAMOND DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538821",
            "telephone_number": "678-984-6166",
            "fax_number": "888-209-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MODIFICATION SPECIALISTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BEHAVIOR SUPPORT CONSULTANT",
        "authorized_official_telephone_number": "678-453-6166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.