Upward Autism Center Llc

LBN: Upward Autism Center Llc
Upward Autism Center Llc is an health care organization with primary practice located at 4400 Brownsville Rd Ste #105 #3080 , Powder Springs GA 30127-8902. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Upward Autism Center Llc can be contacted via phone (470) 333-2051, or through Thomas, Raven via phone (502) 338-4266.

Contact Information

Primary practice address
4400 Brownsville Rd Ste #105 #3080 Powder Springs GA 30127-8902
Phone: (470) 333-2051
Fax: (678) 669-2694
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Raven MS, BCBA
Phone: (502) 338-4266

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1558037507
LBN Legal business name Upward Autism Center Llc
DBA Doing business as
Authorized official Thomas, Raven MS, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2021
Last updated Apr 11th, 2023 - about 3 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 1558037507 NPPES
Georgia Other 1-18-32530 BCBA CERTIFICATE

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