Provider Demographics
NPI:1033894704
Name:BUCKEYE BEHAVIORAL ASSOCIATES
Entity Type:Organization
Organization Name:BUCKEYE BEHAVIORAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA
Authorized Official - Phone:404-558-9809
Mailing Address - Street 1:5030 EDINBURGH TER NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-5020
Mailing Address - Country:US
Mailing Address - Phone:404-558-9809
Mailing Address - Fax:
Practice Address - Street 1:5030 EDINBURGH TER NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-5020
Practice Address - Country:US
Practice Address - Phone:404-558-9809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty