Organization · Type 2 NPI

Moon River, LLC

Behavior Analyst · Marietta, GA

NPI number 1730143553 Active

Practice location

790 Oak Trail Dr
Marietta, GA 30062-7502

Fax (770) 977-6887

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Psychologist 103T00000XNone listed
Physical Therapist 225100000XPT003833 (GA)
Pediatric Occupational Therapist 225XP0200XOT 004293 (GA)
Pediatric Occupational Therapist 225XP0200XGAOT001717 (GA)
Speech-Language Pathologist 235Z00000XSLP003992 (GA)
Speech-Language Pathologist 235Z00000XSLP005806 (GA)
Speech-Language Pathologist 235Z00000XSLP006528 (GA)
Speech-Language Pathologist 235Z00000XSLP 06551 (GA)
Speech-Language Pathologist 235Z00000XSLP 006556 (GA)

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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About NPI 1730143553

Moon River, LLC's National Provider Identifier is 1730143553, issued on Apr 17, 2006. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Marietta, GA. The record was last updated on Feb 18, 2025.