By Your Side Georgia, LLC

NPI #1003469420 in Norcross, Georgia

Provider Information

NPI Number: 1003469420
Entity Type: Organization
Organization Name: By Your Side Georgia, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BY YOUR SIDE LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 24, 2019
Last Updated: Nov 23, 2020

Practice Location

Address: 3070 BUSINESS PARK DR STE B
City: Norcross
State: Georgia
ZIP Code: 30071-1428
Phone: (770) 884-1050

Authorized Official

Name: MATTHEW SULLIVAN
Title: CFO
Phone: (770) 884-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Behavior Analyst	103K00000X	Primary

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