| Momentum Behavioral Services | |
|
132 Golden South Pkwy Dallas GA 30157-1252 | |
| (404) 290-3422 | |
| (678) 303-0347 |
| Full Name | Momentum Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 132 Golden South Pkwy, Dallas, Georgia |
| Authorized Official Name and Position | Katelyn Butler (CEO) |
| Authorized Official Contact | 4042903422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Behavioral Services 831 Government Farm Rd Rockmart GA 30153-4419 Ph: (404) 290-3422 | Momentum Behavioral Services 132 Golden South Pkwy Dallas GA 30157-1252 Ph: (404) 290-3422 |
| NPI Number | 1801566047 |
|---|---|
| Provider Enumeration Date | 09/19/2021 |
| Last Update Date | 09/19/2021 |
| Certification Date | 09/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801566047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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