| Goal Point Behavior Group Llc | |
|
644 Tallulah Trl Warner Robins GA 31088-7625 | |
| (478) 225-2179 | |
| (706) 243-6497 |
| Full Name | Goal Point Behavior Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 644 Tallulah Trl, Warner Robins, Georgia |
| Authorized Official Name and Position | William Walton (CEO-REGIONAL DIRECTOR) |
| Authorized Official Contact | 6787883328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goal Point Behavior Group Llc 107 Independence Dr Ste D Warner Robins GA 31088-7814 Ph: (478) 333-5024 | Goal Point Behavior Group Llc 644 Tallulah Trl Warner Robins GA 31088-7625 Ph: (478) 225-2179 |
| NPI Number | 1104319854 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104319854 | NPI | - | NPPES |
| 003200275A | Medicaid | GA | |
| 003204013A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-26263 (Georgia) | Primary |
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