Advance ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADVANCE ABA LLC

Practice address

8735 Dunwoody PL Ste 5540
Atlanta, GA 30350-2995

Phone

(848) 210-1993

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Binyomin Wachs

Title

Owner

Phone

(848) 210-1993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1093558900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SCHOOL GARDEN ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE 5540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502995",
            "telephone_number": "848-210-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "WACHS",
        "authorized_official_first_name": "BINYOMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-210-1993"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.