Active NPI
Next Gen ABA LLC
- Behavior Analyst
- Atlanta, GA
National Provider Identifier
1104613785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- NEXT GEN ABA LLC
- Practice address
- 635 Boulevard NE
Atlanta, GA 30308-2701 - Phone
- (786) 852-8078
- NPI assigned
- Apr 24, 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
- Mr. Raudel La O
- Title
- Ceo
- Phone
- (786) 852-8078
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
635 Boulevard NE
Atlanta, GA 30308-2701
Mailing address
203 Thorpe Park
Duluth, GA 30097-5936
Phone (786) 852-8078
Other practice location 1
1980 Buford Hwy Ste A
Buford, GA 30518-3673
Phone (678) 546-2767
National Provider Directory
National Provider DirectoryLocations
637 Boulevard NE
Atlanta, GA 30308
635 Boulevard NE
Atlanta, GA 30308
Phone (678) 546-2767
1980 Buford Hwy
Ste A
Buford, GA 30518
Phone (678) 546-2767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1609495985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1104613785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 THORPE PARK",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975936",
"telephone_number": "786-852-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BOULEVARD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082701",
"telephone_number": "786-852-8078"
}
],
"practiceLocations": [
{
"address_1": "1980 Buford Hwy Ste A",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305183673",
"country_code": "US",
"telephone_number": "678-546-2767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEXT GEN ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "LA O",
"authorized_official_first_name": "RAUDEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-852-8078",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"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 May 20, 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.