Behavior Momentum LLC

Behavior Analyst · Rome, GA

Organization Active NPI

NPI number 1033816178

Practice location

113 Acadia Dr NW
Rome, GA 30165-1850
Phone
(706) 676-6689

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NPI record

NPI
1033816178
Entity type
Organization (Type 2)
Enumeration date
February 9, 2023
Last updated
February 9, 2023
Certified
February 9, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Jennifer Michelle Detherage
Title
Bcba
Phone
(706) 676-6689

About Behavior Momentum LLC

Behavior Momentum LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 113 Acadia Dr NW, Rome, GA 30165-1850. The NPI number 1033816178 was assigned on February 9, 2023 and the record was last updated on February 9, 2023.

The authorized official for this organization is Jennifer Michelle Detherage, Bcba.

Frequently asked questions

What is the NPI number of Behavior Momentum LLC?

The NPI number is 1033816178.

What is the phone number of Behavior Momentum LLC?

The phone number listed for the practice location is (706) 676-6689.

Where is Behavior Momentum LLC located?

113 Acadia Dr NW, Rome, GA 30165-1850.

What is the taxonomy code for Behavior Momentum LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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