Organization Active NPI

Exceptionally Yours Autism and Educational Services LLC

  • Behavior Analyst
  • Lithonia, GA
National Provider Identifier
1851948574
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EXCEPTIONALLY YOURS AUTISM AND EDUCATIONAL SERVICES LLC
Practice address
6754 Grey Rock Way
Lithonia, GA 30058-3077
Phone
(678) 849-0505
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Deborah Sillsp, PHD, LCSW
Title
Ceo
Phone
(678) 849-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6754 Grey Rock Way
Lithonia, GA 30058-3077

Mailing address

PO Box 784
Lithonia, GA 30058-0784
Phone (678) 849-0505

Other identifiers 1

IdentifierTypeStateIssuer
102014OtherGABEHAVIORAL HEALTH PROVIDER

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address exceptionallyyours@outlook.com Direct
Direct Messaging Address exceptionallyyours@outlook.com Direct
Direct Messaging Address exceptionallyyours@outlook.com Direct

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1851948574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300580784",
            "telephone_number": "678-849-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 GREY ROCK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583077",
            "telephone_number": "678-849-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONALLY YOURS AUTISM AND EDUCATIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "SILLSP",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-849-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH PROVIDER",
            "identifier": "102014",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "exceptionallyyours@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication with staff and families",
            "address_1": "6754 Grey Rock Way",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300583077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "exceptionallyyours@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication with providers and client  family",
            "address_1": "6754 Grey Rock Way",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300583077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "exceptionallyyours@outlook.com",
            "affiliation": "N",
            "endpointDescription": "communicate with healthcare professionals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "confirm information",
            "address_1": "6754 Grey Rock Way",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300583077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.