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SUNRISE BEHAVIORAL THERAPY
NPI 1770300477
Behavior Analyst in Hazlehurst, GA

Active since September 24, 2024
20 HINSON ST STE 5, HAZLEHURST, GA 31539(209) 597-6489 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Sep 24, 2024 (2 updates tracked since 2024).

About Sunrise Behavioral Therapy NPPES

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

SUNRISE BEHAVIORAL THERAPY (NPI 1770300477) is a healthcare organization registered as a behavior analyst in Hazlehurst, Georgia and active in the NPI registry since September 2024. The organization lists Samantha Emilie Moeller, Bcba/owner, as its authorized official.

NPPES Registry Identity

NPI1770300477
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSUNRISE BEHAVIORAL THERAPY LLC
Location Address20 HINSON ST STE 5Hazlehurst, GA 31539-6115
Mailing Address20 Hinson St Ste 5Hazlehurst, GA 31539-6115 · (209) 597-6489
Phone(209) 597-6489
Organization SubpartNo
Authorized OfficialSamantha Emilie MoellerBcba/owner · (209) 597-6489
Enumeration DateSeptember 24, 2024
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1770300477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
20 HINSON ST STE 5, Hazlehurst, GA 31539
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Other Names 1

Doing Business AsSunrise Behavioral Therapy

Other Identifiers 1

Medicaid003271067CGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

EDEN GREEN
Behavior Analyst
20 HINSON ST STE 5
HAZLEHURST, GA 31539
Jeff Davis County (407) 288-6888
SAMANTHA MOELLER BCBA
Behavior Analyst
20 HINSON ST STE 5
HAZLEHURST, GA 31539
Jeff Davis County (209) 597-6489
BEEHAVIOR THERAPY EFFECTS, LLC
Behavior Analyst
20 HINSON ST STE 5
HAZLEHURST, GA 31539
Jeff Davis County (407) 288-6888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Behavioral Therapy LLC's NPI number?

The NPI number for Sunrise Behavioral Therapy LLC is 1770300477. It was assigned to this organization in the NPPES registry on September 24, 2024. The provider is doing business as Sunrise Behavioral Therapy.

Where is Sunrise Behavioral Therapy LLC located?

Sunrise Behavioral Therapy LLC is located at 20 Hinson St Ste 5, Hazlehurst, GA 31539. The listed phone number is (209) 597-6489.

What is Sunrise Behavioral Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sunrise Behavioral Therapy LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.