NORTH GEORGIA AUTISM CENTER, INC
NPI 1871615393
Psychologist - Intellectual and Developmental Disabilities in Cumming, GA

Active since April 04, 2007
1575 DAHLONEGA HWY, CUMMING, GA 30040(770) 844-8624(770) 844-8643 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

APC001104 (GA)
2111NR0400XChiropractic Providers

Chiropractor
Rehabilitation

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JESSICA LYNN PUGH M.S., BCBA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 844-8624

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Behavior Analyst
1575 DAHLONEGA HWY
CUMMING, GA 30040

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.