Organization · Type 2 NPI

Mose and Garrison Siskin Memorial Foundation

Behavior Analyst · Marietta, GA

NPI number 1255992319 Active

Practice location

55 Atlanta St SE Ste 399
Marietta, GA 30060-1977

Call (423) 490-7710 Map

Fax (423) 490-7750

Mailing address

1101 Carter St
Chattanooga, TN 37402-5017

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None 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…

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NPI record

NPI: 1255992319
Entity type: Organization (Type 2)
Issued: Jun 27, 2019
Last updated: Jun 27, 2019
Status: Active
Subpart: Yes of Mose and Garrison Siskin Memorial Foundation

Other names

Siskin Center for Developmental Pediatrics · doing business as

Authorized official

Stephanie Cooper-Wilkes
Director Healthcare Administration
(423) 490-7727

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255992319

Mose and Garrison Siskin Memorial Foundation's National Provider Identifier is 1255992319, issued on Jun 27, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Marietta, GA. The record was last updated on Jun 27, 2019.