Provider Demographics
NPI:1730240771
Name:PAULDING COUNTY BOARD OF EDUCATION
Entity type:Organization
Organization Name:PAULDING COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANNISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:770-443-8030
Mailing Address - Street 1:3236 ATLANTA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5725
Mailing Address - Country:US
Mailing Address - Phone:770-443-8000
Mailing Address - Fax:770-443-7027
Practice Address - Street 1:3236 ATLANTA HIGHWAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5725
Practice Address - Country:US
Practice Address - Phone:770-443-8000
Practice Address - Fax:770-443-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2011-08-19
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2008-08-07
Provider Licenses
StateLicense IDTaxonomies
GA251300000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty