Momentum Behavioral Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOMENTUM BEHAVIORAL SERVICES

Practice address

132 Golden South Pkwy
Dallas, GA 30157-1252

Phone

(404) 290-3422

Fax

(678) 303-0347

NPI assigned

Sep 19, 2021

Last updated

Sep 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katelyn Butler, MS, BCBANPI 1467961474

Title

Ceo

Phone

(404) 290-3422

Specialties & licenses 1

Addresses

Locations

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.

• Katelyn Marie Butler, BCBA

  • Behavior Analyst
  • Dallas, GA
  • NPI 1467961474
  NPD Authorized official

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1801566047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 GOVERNMENT FARM RD",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301534419",
            "telephone_number": "404-290-3422",
            "fax_number": "678-303-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GOLDEN SOUTH PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571252",
            "telephone_number": "404-290-3422",
            "fax_number": "678-303-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-290-3422",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Mitchell
• Kamarie Dylanna-Makela Mitchell
• Tiffany Shulonda Mitchell, CADCII, ICADC
• Briana Mizrahi
• Shem Mobisa
• Farhan Abbas Momin, DMD
• Mohammad Mehdi Momtahan, PH.D.
• Annette Moncion, NP
• Gabriela Monge, MS, NBC-HWC, CWP
• Katie Montgomery, MED

• Behavior Analyst in Dallas, GA
• Providers in Dallas, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.