P Praxis·MD
● Active Type 2 · Organization

Moon River, Llc

Behavior Analyst·Marietta, GA· NPI 1730143553 · Enumerated 2006 · 20 years on NPI
Moon River, Llc is 1 of 3228 behavior analyst organizations in Georgia.
NPI age
20 years
Enumerated 2006-04-17
Primary specialty
Behavior Analyst
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Desantis
Office Manager
Last NPPES update
2025-02-18
Source: monthly bulk 2026-05

How this organization compares

Across 3228 active behavior analyst providers in Georgia.

NPI age
20 years
↑ 15 yr above median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 26% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
790 Oak Trail Dr
Marietta, GA 300627502
📞 7709776866fax 7709776887
Mailing address
790 Oak Trail Dr
Marietta, GA 300627502
📞 7702122170fax 7707838639

Authorized official

Laura Desantis
Office Manager
📞 7702122170

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Behavior Analyst Primary
    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...
    taxonomy 103K00000X
  • Occupational Therapist
    Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
    GA license #OT 004293GA license #GAOT001717 taxonomy 225XP0200X
  • Physical Therapist
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT003833 taxonomy 225100000X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    taxonomy 103T00000X
  • Speech-Language Pathologist
    The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
    GA license #SLP003992GA license #SLP005806GA license #SLP006528GA license #SLP 06551GA license #SLP 006556 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 000970835A
05 (GA) 317872221A
05 (GA) 503885675B
05 (GA) 315889908A
05 (GA) 339518223A
05 (GA) 516643175A
05 (GA) 761415888A
05 (GA) 765677599A
05 (GA) 814363142A
05 (GA) 188883028B
05 (GA) 426315361A
05 (GA) 000753563E
05 (GA) 191707573A
05 (GA) 461168837A
05 (GA) 481436178B
05 (GA) 000860736B
05 (GA) 240960806A
05 (GA) 850524466A
05 (GA) 146855825A
05 (GA) 986209149B

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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