NPI 1194360768 · live from the CMS NPI Registry
Advant Therapy Services LLC
Behavior Analyst in College Park, GA. National Provider Identifier 1194360768, active.
NPI record
| NPI | 1194360768 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 |
| Practice phone | 732-822-8487 |
| Enumerated | November 7, 2019 |
| Last updated | November 7, 2019 |
| Authorized official | Mark Sax, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.