Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Autism Center LLC

Organization Clinical Psychologist · NPI 1376059998

Georgia Autism Center LLC is a Clinical Psychologist in Peachtree Corners, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4046 Wetherburn Way Ste 1
Peachtree Corners, GA 30092-4614
Phone: (770) 696-4384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY2999 (GA)

Record details

NPI number1376059998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaymie Fox — Owner · (770) 696-4384
Other names Jaymie Helen Luckow Fox Sole Mbr
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 19, 2017
Mailing address4046 Wetherburn Way Ste 1, Peachtree Corners, GA 30092-4614

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