FIESTA HEALTH LLC
NPI 1831827724
Behavior Analyst in Savannah, GA

Active since August 10, 2022
800 E 70TH ST, SAVANNAH, GA 31405(912) 214-3314(912) 722-4061 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 20, 2024, Oct 24, 2022, Aug 10, 2022 (3 updates tracked since 2022).

About Fiesta Health Llc NPPES

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

FIESTA HEALTH LLC (NPI 1831827724) is a healthcare organization registered as a behavior analyst in Savannah, Georgia and active in the NPI registry since August 2022. The organization lists Jordan P Boudreau, Owner/chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1831827724
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameFIESTA HEALTH LLC
Location Address800 E 70TH STSavannah, GA 31405-4813
Mailing Address634 Holgate AveDefiance, OH 43512-2038 · (912) 491-2491 · Fax (470) 329-0008
Fax(912) 722-4061
Organization SubpartNo
Authorized OfficialJordan P BoudreauOwner/chief Clinical Officer · (231) 497-0555
Enumeration DateAugust 10, 2022
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1831827724 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.

800 E 70TH ST, Savannah, GA 31405

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 8

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

Physician Assistant
800 E 70TH ST
SAVANNAH, GA 31405
Physician Assistant
800 E 70TH ST
SAVANNAH, GA 31405
Pharmacy (Specialty Pharmacy)
800 E 70TH ST
SAVANNAH, GA 31405
Social Worker (Clinical)
800 E 70TH ST
SAVANNAH, GA 31405
Physician Assistant
800 E 70TH ST
SAVANNAH, GA 31405
Counselor (Professional)
800 E 70TH ST
SAVANNAH, GA 31405
Social Worker (Clinical)
800 E 70TH ST
SAVANNAH, GA 31405
Psychiatry & Neurology (Addiction Psychiatry)
800 E 70TH ST
SAVANNAH, GA 31405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831827724, enumerated as an "organization" on August 10, 2022.

The provider is located at 800 E 70TH ST SAVANNAH, GA 31405 and the phone number is (912) 214-3314.

Behavior Analyst with taxonomy code 103K00000X.