Provider Demographics
NPI:1013669845
Name:APPLIED BEHAVIORAL APPROACHES
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL APPROACHES
Other - Org Name:APPLIED BEHAVIORAL APPROACHES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRONER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-462-8550
Mailing Address - Street 1:2339 MEADOW PEAK PT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4366
Mailing Address - Country:US
Mailing Address - Phone:770-462-8550
Mailing Address - Fax:470-322-4355
Practice Address - Street 1:2930 HORIZON PARK DR STE D
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7252
Practice Address - Country:US
Practice Address - Phone:770-462-8550
Practice Address - Fax:470-322-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty