Provider Demographics
NPI:1831894260
Name:BEHAVIORALLY AUSOME
Entity type:Organization
Organization Name:BEHAVIORALLY AUSOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAHARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATMAN- JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:678-485-0890
Mailing Address - Street 1:730 PEACHTREE ST NE # 530
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1210
Mailing Address - Country:US
Mailing Address - Phone:678-485-0890
Mailing Address - Fax:
Practice Address - Street 1:7609 ABSINTH DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8131
Practice Address - Country:US
Practice Address - Phone:678-485-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty