NPIMap

Organization Active NPI

Village Autism Center LLC

  • Clinical Child & Adolescent Psychologist
  • Marietta, GA
National Provider Identifier
1962914465
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY003346 Issued in GA
Legal business name
VILLAGE AUTISM CENTER LLC
Practice address
1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489
Phone
(770) 565-3045
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Caitlin H Delfs, PHD, BCBA-DNPI 1316269350
Title
Owner, Executive Director
Phone
(404) 840-2228

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PSY003346 GA Primary

Addresses

Primary practice location

1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489

Mailing address

1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489
Phone (770) 565-3045

Other identifiers 1

IdentifierTypeStateIssuer
840297646BMedicaidGA

Other names 1

  • Village Behavior Analysis, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4994 Lower Roswell Rd
Ste 10
Marietta, GA 30068
Phone (770) 565-3045

3581 Habersham At Northlake
Bldg M
Tucker, GA 30084
Phone (470) 569-5942

Practitioners & affiliated clinicians

Practitioners 11

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": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1962914465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679489",
            "telephone_number": "770-565-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679489",
            "telephone_number": "770-565-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "DELFS",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-840-2228",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840297646B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Behavior Analysis, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.