Provider Demographics
NPI:1871310144
Name:PEACHTREE LEARNING COLLABORATIVE
Entity type:Organization
Organization Name:PEACHTREE LEARNING COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:JUANITA
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:470-262-5112
Mailing Address - Street 1:301 S GREENE ST STE 8C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-3252
Mailing Address - Country:US
Mailing Address - Phone:336-539-1967
Mailing Address - Fax:
Practice Address - Street 1:301 S GREENE ST STE 8C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3252
Practice Address - Country:US
Practice Address - Phone:336-539-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health