Provider Demographics
NPI:1154207967
Name:SUNSHINE BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:SUNSHINE BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER/CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GATAVIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, BCBA
Authorized Official - Phone:850-980-7979
Mailing Address - Street 1:1351 DUKES CREEK DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-8232
Mailing Address - Country:US
Mailing Address - Phone:850-980-7979
Mailing Address - Fax:
Practice Address - Street 1:1351 DUKES CREEK DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-8232
Practice Address - Country:US
Practice Address - Phone:850-980-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRICE MANAGEMENT CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization