FBTC Transitional Sub, LLC
Behavior Analyst · Rincon, GA
Practice location
613 Towne Park Dr WRincon, GA 31326-5182
- Phone
- (508) 521-2200
- Fax
- (508) 427-2227
NPI record
- NPI
- 1346969755
- Entity type
- Organization (Type 2)
- Enumeration date
- August 26, 2022
- Last updated
- January 13, 2025
- Certified
- January 13, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
| Community/Behavioral Health Agency | 251S00000X |
— | — |
Mailing address
55 Tozer RdBeverly, MA 01915-5515
- Phone
- (978) 969-2894
- Fax
- (978) 969-2637
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP& Sr. Assistant General Counsel
- Phone
- (952) 836-2234
Other names
- Bright Light
Other practice locations (1)
- 806 Towne Park Dr, Rincon, GA 31326-9368 · (912) 677-4292
About FBTC Transitional Sub, LLC
FBTC Transitional Sub, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 613 Towne Park Dr W, Rincon, GA 31326-5182. The NPI number 1346969755 was assigned on August 26, 2022 and the record was last updated on January 13, 2025.
The authorized official for this organization is Mary Patricia Rodenberg-Roberts, VP& Sr. Assistant General Counsel.
Frequently asked questions
What is the NPI number of FBTC Transitional Sub, LLC?
The NPI number is 1346969755.
What is the phone number of FBTC Transitional Sub, LLC?
The phone number listed for the practice location is (508) 521-2200.
Where is FBTC Transitional Sub, LLC located?
613 Towne Park Dr W, Rincon, GA 31326-5182.
What is the taxonomy code for FBTC Transitional Sub, LLC?
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.
Other Behavior Analyst providers in Rincon
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- Halle Drew Dotson806 Towne Park Dr
- Annah Grace Sewell613 Towne Park Dr W
- William Autry, BCBA800 Towne Park Dr
- Candice Robinson Dixon, BCBA806 Towne Park Dr
- Gabrielle Houston, BCBA806 Towne Park Dr Ste 100