Peachtree Autism Services LLC
NPI 1205383627ActiveOrganization· Behavior Analyst· Dunwoody, GA
Behavior Analyst in Dunwoody, Georgia, registered in NPPES in September 2016. The authorized official on file is Whitney Hendricks Bolle, M.A., BCBA, LBA, Executive Director.
Overview
| NPI | 1205383627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2016 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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