Provider Demographics
NPI:1205652559
Name:VISIO EDUCATIONAL CONSULTING LLC
Entity type:Organization
Organization Name:VISIO EDUCATIONAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-456-7868
Mailing Address - Street 1:4430 WADE GREEN RD NW STE 180-161
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-1267
Mailing Address - Country:US
Mailing Address - Phone:470-456-7868
Mailing Address - Fax:
Practice Address - Street 1:4510 CINDY LN NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1227
Practice Address - Country:US
Practice Address - Phone:678-849-9571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty