Organization · Type 2 NPI

Imago Dei Therapeutic Services, LLC

Behavior Analyst · Waycross, GA

NPI number 1164358289 Active

Practice location

325 Hatcher Point Rd
Waycross, GA 31503-7959

Mailing address

363 Joyce Rd
Waycross, GA 31503-2901

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

About NPI 1164358289

Imago Dei Therapeutic Services, LLC's National Provider Identifier is 1164358289, issued on Jun 18, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Waycross, GA. The record was last updated on Jun 18, 2026.