Eagle Behavioral Services Inc

Behavior Analyst · Flowery Branch, GA

Organization Active NPI

NPI number 1063378396

Practice location

5929 London Trce
Flowery Branch, GA 30542-4500
Phone
(470) 846-8160

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NPI record

NPI
1063378396
Entity type
Organization (Type 2)
Enumeration date
December 30, 2025
Last updated
December 31, 2025
Certified
December 31, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Community/Behavioral Health Agency 251S00000X — —

Authorized official

Name
Gary Douglas Stout
Title
CEO
Phone
(470) 846-8160

About Eagle Behavioral Services Inc

Eagle Behavioral Services Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5929 London Trce, Flowery Branch, GA 30542-4500. The NPI number 1063378396 was assigned on December 30, 2025 and the record was last updated on December 31, 2025.

The authorized official for this organization is Gary Douglas Stout, CEO.

Frequently asked questions

What is the NPI number of Eagle Behavioral Services Inc?

The NPI number is 1063378396.

What is the phone number of Eagle Behavioral Services Inc?

The phone number listed for the practice location is (470) 846-8160.

Where is Eagle Behavioral Services Inc located?

5929 London Trce, Flowery Branch, GA 30542-4500.

What is the taxonomy code for Eagle Behavioral Services Inc?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

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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