Provider Demographics
NPI:1295097236
Name:HILL, GINGER LIANE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:LIANE
Last Name:HILL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 HIGHTOWER TRAIL
Mailing Address - Street 2:BLDG. B #120
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350
Mailing Address - Country:US
Mailing Address - Phone:866-750-5554
Mailing Address - Fax:678-281-1609
Practice Address - Street 1:1215 HIGHTOWER TRAIL
Practice Address - Street 2:BLDG. B #120
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350
Practice Address - Country:US
Practice Address - Phone:866-750-5554
Practice Address - Fax:678-281-1609
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-11-8354103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst