NPIMap

Organization Active NPI

Autism and Behavioral Intervention Services, LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1033553441
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9001 Issued in GA
Legal business name
AUTISM AND BEHAVIORAL INTERVENTION SERVICES, LLC
Practice address
1910 Cedar Glenn
Unit 4301
Atlanta, GA 30339-8541
Phone
(678) 814-7994
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Geetika Agarwal, PH.D.
Title
Owner and Behavior Analyst
Phone
(678) 814-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-11-9001 GA Primary

Addresses

Primary practice location

1910 Cedar Glenn
Unit 4301
Atlanta, GA 30339-8541

Mailing address

1910 Cedar Glenn
Unit 4301
Atlanta, GA 30339-8541

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1033553441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CEDAR GLENN",
            "address_2": "UNIT 4301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CEDAR GLENN",
            "address_2": "UNIT 4301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398541",
            "telephone_number": "678-814-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM AND BEHAVIORAL INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER AND BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "678-814-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-11-9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.