NPI 1003469420
By Your Side Georgia, LLC
Practice location
- Address
- 3070 Business Park Dr STE B, Norcross, GA 30071-1428
- Phone
- (770) 884-1050
- Fax
- (770) 884-1051
Authorised official
- Name
- Matthew Sullivan
- Title
- Cfo
- Phone
- (770) 884-1050
Registered specialties (2)
Behavior Analyst
Primary
Occupational Therapist
Registry record
- NPI
- 1003469420
- Entity type
- Organization
- NPI issued
- 24 Jul 2019
- Record last updated
- 23 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.