ELIZABETH WATHEN BCBA
NPI 1790239556
Behavior Analyst in Fayetteville, GA

Q: What is Elizabeth Wathen's NPI number?

The NPI number for Elizabeth Wathen is 1790239556. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Q: What is Elizabeth Wathen'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 Elizabeth Wathen was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 10, 2016

126 PAVILION PKWY, FAYETTEVILLE, GA 30214(770) 954-8988(317) 520-8200 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 28, 2022, Sep 14, 2021, Jul 15, 2021 and 1 more (4 updates tracked since 2016).

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About Elizabeth Wathen Bcba NPPES

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

ELIZABETH WATHEN BCBA (NPI 1790239556) is an individual behavior analyst provider in Fayetteville, Georgia, licensed in Georgia (1-21-49910) and active in the NPI registry since August 2016. She maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1790239556

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameELIZABETH WATHENCredential: BCBA

Location Address126 PAVILION PKWYFayetteville, GA 30214-4056

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(770) 954-8988

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateAugust 10, 2016

Last NPPES UpdateJune 22, 20224 updates tracked since enumeration

NPPES CertifiedJune 22, 2022

✔ NPI 1790239556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Licenses✔ Licensed in GA · 1-21-49910✔ Licensed in MI · 7401001502

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedTechnician, OtherTaxonomy 247200000X

126 PAVILION PKWY, Fayetteville, GA 30214

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Secondary Practice Location 1

Location 12008 Eastview Pkwy Ste 100Conyers, GA 30013-5717 · Phone (678) 374-3908 · Fax (678) 905-1500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

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

JASMINE DIONNE

Behavior Analyst