Active NPI
Advanced Behavioral Concepts LLC
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1073311569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ADVANCED BEHAVIORAL CONCEPTS LLC
- Practice address
- 4050 Southwood Cir SW Unit 1104
Atlanta, GA 30331-8818 - Phone
- (910) 709-3487
- NPI assigned
- Mar 3, 2025
- Last updated
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eternia Richmond
- Title
- Ceo
- Phone
- (910) 709-3487
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Assistant Behavior Analyst | 106E00000X | NU | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4050 Southwood Cir SW Unit 1104
Atlanta, GA 30331-8818
Mailing address
6946 Skyhawk Dr
Fayetteville, NC 28314-5381
Phone (336) 212-9236
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Raleigh, NC
- NPI 1154896959
-
- Mental Health Counselor
- Fayetteville, NC
- NPI 1801183850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1073311569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6946 SKYHAWK DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145381",
"telephone_number": "336-212-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 SOUTHWOOD CIR SW UNIT 1104",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318818",
"telephone_number": "910-709-3487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED BEHAVIORAL CONCEPTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "RICHMOND",
"authorized_official_first_name": "ETERNIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-709-3487"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.