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GATEWAY MEDSPA LLC DBA DANA NPI 1609492693


NPI Information

NPI: 1609492693
Provider Name: GATEWAY MEDSPA LLC DBA DANA

Doing Business As: DANA INC.

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
165 CEDRIC ST
LEESBURG, GA
ZIP 31763
Phone: (229) 405-1900
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GATEWAY MEDSPA LLC DBA DANA is a behavior analyst in Leesburg, GA. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. GATEWAY MEDSPA LLC DBA DANA NPI is 1609492693. The provider is registered as an organization entity type.
The provider Is Doing Business As Dana Inc..

The provider's business location address is:

165 CEDRIC ST
LEESBURG, GA
ZIP 31763-027
Phone: (229) 405-1900
Fax: (229) 304-4486

The provider's authorized official is Tokela S Huston .
The authorized official title is Owner and has the following contact phone number (229) 854-0146.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 12/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251K00000XPublic Health or WelfareNo
3253Z00000XIn Home Supportive CareNo
4261Q00000XClinic/CenterNo
5261QH0100XClinic/CenterHealth ServiceNo
6103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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