VIRGINA PONTON SACK MS
NPI 1053931154
Behavior Analyst in Tyrone, GA

Q: What is Virgina Sack's NPI number?

The NPI number for Virgina Sack is 1053931154. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Virgina Sack's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Virgina Sack was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2020

1135 SENOIA RD, TYRONE, GA 30290(770) 626-3044 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 1, 2020, Apr 20, 2020 (2 updates tracked since 2020).

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About Virgina Ponton Sack Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINA PONTON SACK MS (NPI 1053931154) is an individual behavior analyst provider in Tyrone, Georgia, licensed in Georgia (1-20-44982) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1053931154

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameVIRGINA PONTON SACKCredential: MS

Location Address1135 SENOIA RDTyrone, GA 30290-1625

Mailing Address1135 Senoia RdTyrone, GA 30290-1625 · (770) 626-3044

Phone(770) 626-3044

Sole ProprietorNo

Enumeration DateApril 20, 2020

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 1, 2020

✔ NPI 1053931154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in GA · 1-20-44982

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

1135 SENOIA RD, Tyrone, GA 30290

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Other Identifiers 1

Medicaid003218736AGA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERSTIN ELIZABETH POWELL

Behavior Technician