Provider Demographics
NPI:1285146662
Name:COLON, ADNER (BCBA)
Entity type:Individual
Prefix:
First Name:ADNER
Middle Name:
Last Name:COLON
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TRAMINER WAY
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-2617
Mailing Address - Country:US
Mailing Address - Phone:973-883-5850
Mailing Address - Fax:
Practice Address - Street 1:4729 PEACHTREE INDUSTRIAL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BERKELEY LAKE
Practice Address - State:GA
Practice Address - Zip Code:30092-3023
Practice Address - Country:US
Practice Address - Phone:470-719-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst