NORTH GEORGIA AUTISM CENTER, INC
NPI 1871615393
Psychologist - Intellectual and Developmental Disabilities in Cumming, GA
- Organization
- Psychologist
- Intellectual and Developmental Disabilit...
About NORTH GEORGIA AUTISM CENTER, INC
This page provides the complete NPI Profile along with additional information for North Georgia Autism Center, Inc, a provider established in Cumming, Georgia operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1871615393 assigned on April 2007. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Jessica Lynn Pugh M.s., Bcba (President)
- NPI
- 1871615393 Verify this NPI
- Provider Name
- NORTH GEORGIA AUTISM CENTER, INC
- Entity Type
- Organization
- Location Address
- 1575 DAHLONEGA HWY CUMMING, GA 30040
- Location Phone
- (770) 844-8624
- Location Fax
- (770) 844-8643
- Mailing Address
- PO BOX 38 CUMMING, GA 30028
- Mailing Phone
- (770) 844-8624
- Mailing Fax
- (770) 844-8643
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2007
- Last Update Date
- 09-29-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | APC001104 (GA) |
| 2 | 111NR0400X | Chiropractic Providers | Chiropractor | CHIR007818 (GA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871615393, enumerated as an "organization" on April 04, 2007.
The provider is located at 1575 DAHLONEGA HWY CUMMING, GA 30040 and the phone number is (770) 844-8624.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.