Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053931154 Individual Practitioner Female Practitioner

Virgina Ponton Sack , MS

Behavior Analyst • Tyrone, GA

Professional Overview & Biography Verified Profile Summary

Virgina Sack, MS is a registered healthcare professional specializing in Behavior Analyst in Tyrone, GA. Practice services are available at 1135 SENOIA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1135 Senoia Rd

Tyrone, GA 302901625

Telephone 7706263044
Associated Practice Facility / Clinic
🏢 Southside Aba Llc Facility NPI 1134759608

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Tyrone, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Tyrone, GA (2715 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA 1-20-44982

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 provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003218736A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Kerstin Powell

Behavior Technician

NPI 1043830136
Jana Gills

Behavior Technician

NPI 1295516045
Tiffany Trautner

Behavior Technician

NPI 1417576992
William Hawkins

Behavior Technician

NPI 1417738261
Robin Boullion

Behavior Technician

NPI 1558951848
Hilary Leahy

Behavior Analyst

NPI 1578183570

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated October 01, 2020

Recorded as VIRGINA SACK, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Behavior Analyst (License #1-20-44982 in GA)

NPI Profile Active April 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2020

Registered at 1135 SENOIA RD, TYRONE, GA 302901625 (Tel: 7706263044)

📍
Updated Business Mailing Address April 20, 2020

Registered at 1135 SENOIA RD, TYRONE, GA 302901625 (Tel: 7706263044)

👤
Provider Name / Credentials Updated April 20, 2020

Recorded as VIRGINA SACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2020

Behavior Technician (License #RBT-19-108955 in GA)

🟢
Initial NPI Registration & Enumeration April 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053931154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2020
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

1135 Senoia Rd

Tyrone, GA 302901625

Phone: 7706263044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.