<Unavail>

LBN: Pediatric Autism Clinical & Evaluation Services Llc
<Unavail> is an health care organization with primary practice located at 2945 Walton Way , Augusta GA 30909-3827. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Pediatric Autism Clinical & Evaluation Services Llc can be contacted via phone (706) 842-3279, or through Northington, Stephanie Anne via phone (706) 842-3272.

Contact Information

Primary practice address
2945 Walton Way Augusta GA 30909-3827
Phone: (706) 842-3279
Fax: (706) 842-3272
Website:
Map and Directions
Authorized official contact:
Name: Northington, Stephanie Anne PHD
Phone: (706) 842-3272

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X Georgia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Georgia

Profile Details

NPI number 1689198194
LBN Legal business name Pediatric Autism Clinical & Evaluation Services Llc
DBA Doing business as <Unavail>
Authorized official Northington, Stephanie Anne PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2017
Last updated Jul 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689198194 NPPES
Georgia Other 1457632150 PSYCHOLOGY
Georgia Other 1386012573 PSYCHOLOGY
Georgia Other 1700123163 PSYCHOLOGY

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