Provider Demographics
NPI:1518482520
Name:CARRION, DEVA (PHD, BCBA-D, NCSP)
Entity type:Individual
Prefix:
First Name:DEVA
Middle Name:
Last Name:CARRION
Suffix:
Gender:F
Credentials:PHD, BCBA-D, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 RIVER GREEN PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8319
Mailing Address - Country:US
Mailing Address - Phone:404-474-0040
Mailing Address - Fax:
Practice Address - Street 1:4375 RIVER GREEN PKWY STE 150
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-8319
Practice Address - Country:US
Practice Address - Phone:404-474-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-32474103K00000X
GA1881606103TS0200X
NCSP65439103TS0200X
GAPSY004325103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool