Organization Active NPI

DH Therapy LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1710608906
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DH THERAPY LLC
Practice address
7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711
Phone
(678) 576-7563
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Damir Hecimovic, OTR/LNPI 1104343359
Title
Owner
Phone
(678) 576-7563

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 AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7 Dunwoody Park Ste 104
Atlanta, GA 30338-6711

Mailing address

325 Oak Alley CT
Johns Creek, GA 30022-8032
Phone (678) 576-7563

Other identifiers 2

IdentifierTypeStateIssuer
003194555CMedicaidGA
003244695DMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
DH Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 Dunwoody Park
Ste 104
Dunwoody, GA 30338
Phone (678) 576-7563

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1710608906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OAK ALLEY CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228032",
            "telephone_number": "678-576-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DUNWOODY PARK STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386711",
            "telephone_number": "678-576-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "HECIMOVIC",
        "authorized_official_first_name": "DAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-576-7563",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003194555C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003244695D",
            "state": "GA"
        }
    ],
    "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 Sep 7, 2022; 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.