Moon River, Llc

Behavior Analyst

790 Oak Trail Dr, Marietta
Georgia, 30062-7502

770-977-6866 770-977-6887Maps & Directions

Moon River, Llc Details:

Moon River, Llc is a Behavior Analyst Clinic in Marietta, Georgia. It is situated at 790 Oak Trail Dr, Marietta and its contact number is 770-977-6866. The authorized person of Moon River, Llc is Laura Desantis who is Office Manager of the clinic and their contact number is 770-212-2170.

Moon River, Llc Clinic 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.
Physical Therapy treatments have been proved effective in many problems, such as continuous back pain, neck pain, headache, digestive problems, balance difficulties, whiplash and other collision injuries, occupational and sports injuries. Some of the other diseases in which physio treatment is helpful are Sciatica, Scoliosis, Fibromyalgia, TMJ disorders etc.

Complete Clinic Profile:

Moon River, Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Specialization:	Behavior Analyst
Clinic Address:	790 Oak Trail Dr, Marietta, Georgia, 30062-7502
Phone:	770-977-6866
Fax:	770-977-6887

Authorized/Official Person Profile:

Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.

Name:	Laura Desantis
Position:	Office Manager
Contact Number:	770-212-2170

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Moon River, Llc Clinic are as mentioned below.

NPI Number:	1730143553
NPI Enumeration Date:	17 Apr, 2006
NPI Last Update On:	18 Feb, 2025

Medical Licenses:

Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moon River, Llc are as mentioned below.

Specialization	License Number	State	Status
Behavior Analyst			Primary
Psychologist			Secondary
Physical Therapist	PT003833	Georgia	Secondary
Pediatrics	OT 004293	Georgia	Secondary
Pediatrics	GAOT001717	Georgia	Secondary
Speech-language Pathologist	SLP003992	Georgia	Secondary
Speech-language Pathologist	SLP005806	Georgia	Secondary
Speech-language Pathologist	SLP006528	Georgia	Secondary
Speech-language Pathologist	SLP 06551	Georgia	Secondary
Speech-language Pathologist	SLP 006556	Georgia	Secondary

Other Medical Identifiers:

Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.

Identifier	Type	State	Issuer
000970835A	Medicaid	Georgia
317872221A	Medicaid	Georgia
503885675B	Medicaid	Georgia
315889908A	Medicaid	Georgia
339518223A	Medicaid	Georgia
516643175A	Medicaid	Georgia
761415888A	Medicaid	Georgia
765677599A	Medicaid	Georgia
814363142A	Medicaid	Georgia
188883028B	Medicaid	Georgia
426315361A	Medicaid	Georgia
000753563E	Medicaid	Georgia
191707573A	Medicaid	Georgia
461168837A	Medicaid	Georgia
481436178B	Medicaid	Georgia
000860736B	Medicaid	Georgia
240960806A	Medicaid	Georgia
850524466A	Medicaid	Georgia
146855825A	Medicaid	Georgia
986209149B	Medicaid	Georgia

Business Mailing Address:

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.

Address:	Moon River, Llc 790 Oak Trail Dr, Marietta, Georgia
Zip:	30062-7502
Phone Number:	770-212-2170
Fax Number:	770-783-8639

Patients can reach Moon River, Llc at 790 Oak Trail Dr, Marietta, Georgia or can call to book an appointment on 770-977-6866. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.

Comments/ Reviews:

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