NPI 1114706132
Radiance Behavior Therapy, LLC
Practice location
- Address
- 3901 Mary Eliza Trce NW STE 202, Marietta, GA 30064-1096
- Phone
- (470) 615-6277
Authorised official
- Name
- Victoria Ladrondeguevara
- Title
- Owner
- Phone
- (404) 480-8790
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1114706132
- Entity type
- Organization
- NPI issued
- 28 Sep 2023
- Record last updated
- 10 Jan 2024
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.