NPIMap

Organization Active NPI

Behavior Therapy Solutions LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tucker, GA
National Provider Identifier
1700418142
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BEHAVIOR THERAPY SOLUTIONS LLC
Practice address
4744 N Royal Atlanta Dr Ste a
Tucker, GA 30084-3820
Phone
(770) 276-9156
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Shatrece Jenkins, LSWNPI 1124480371
Title
Director
Phone
(770) 276-9156

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4744 N Royal Atlanta Dr Ste a
Tucker, GA 30084-3820

Mailing address

4744 N Royal Atlanta Dr Ste a
Tucker, GA 30084-3820
Phone (678) 609-7541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hippaa@behaviortherapysolution.com

National Provider Directory

National Provider Directory

Locations

4744 N Royal Atlanta Dr
Ste A
Tucker, GA 30084
Phone (770) 276-9156

Practitioners & affiliated clinicians

Practitioners 3

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": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1700418142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 N ROYAL ATLANTA DR STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843820",
            "telephone_number": "678-609-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 N ROYAL ATLANTA DR STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843820",
            "telephone_number": "770-276-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHATRECE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-276-9156",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hippaa@behaviortherapysolution.com",
            "affiliation": "N",
            "address_1": "4744 N Royal Atlanta Dr Ste A",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300843820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

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

Verify at the official NPI Registry.