| Brightside Behavioral Associates, Llc | |
|
4443 Ga Highway 219 Fortson GA 31808-4523 | |
| (762) 261-0585 | |
| (706) 441-3328 |
| Full Name | Brightside Behavioral Associates, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4443 Ga Highway 219, Fortson, Georgia |
| Authorized Official Name and Position | Whitni Duncanson (CLINICAL DIRECTOR, BCBA) |
| Authorized Official Contact | 6785106502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Behavioral Associates, Llc 4443 Ga Highway 219 Fortson GA 31808-4523 Ph: (762) 261-0585 | Brightside Behavioral Associates, Llc 4443 Ga Highway 219 Fortson GA 31808-4523 Ph: (762) 261-0585 |
| NPI Number | 1316600513 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316600513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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