NPI 1083085633 · live from the CMS NPI Registry
Joseph Adams
Behavior Analyst in Conyers, GA. National Provider Identifier 1083085633, active.
NPI record
| NPI | 1083085633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1603 Manchester Dr Sw, Conyers, GA 30094 |
| Practice phone | 404-808-2285 |
| Enumerated | October 8, 2015 |
| Last updated | August 9, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Behavior Analyst primary | 103K00000X | 1-21-49963 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.