Mickisha T Barboa
Individual provider Active NPI Behavior Analyst · Johns Creek, GA
NPI 1033744107 · NPPES record last updated Apr 9, 2026
Key facts
- NPI
- 1033744107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 10700 Abbotts Bridge Rd Ste 170
Johns Creek, GA 30097-8461 - Phone
- (770) 200-5155
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Center for Autism Services, LLC | Behavior Analyst | Past |
Accepting new patients |
| The Carolina Center for ABA & Autism Treatment | Past |
Accepting new patients | |
| Brighter Strides ABA Ga LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
10700 Abbotts Bridge Rd Ste 170
Johns Creek, GA 30097-8461
Mailing address
111 Mackenan Dr
Cary, NC 27511-7903
Phone (910) 813-9018
Other providers in Johns Creek, GA
- Natalee Gordon Baker
- Vidal Bakshi
- Junghwan Bang
- Brenda Lynn Banks
- Sarah Robinson Barbera
- Megan Elizabeth Barfield
- James Barker Jr.
- Jaydan Michael Barnes
- Francine Barrett
- Saday M Barrett
All providers in Johns Creek, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.