Whalio Doctors

NPI 1003469420

By Your Side Georgia, LLC

Organisation Behavior Analyst Norcross, GA

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
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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.