NPIMap

Organization Active NPI

Hope ABA LLC

  • Behavior Analyst
  • Richmond Hill, GA
National Provider Identifier
1124657457
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOPE ABA LLC
Practice address
10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259
Phone
(912) 445-6063
Fax
(912) 445-6064
NPI assigned
Apr 7, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Christi Lee Brock Martin, BCBANPI 1972903698
Title
Owner
Phone
(912) 445-6063

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259

Mailing address

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259
Phone (912) 445-6063

National Provider Directory

National Provider Directory

Locations

10221 Ford Ave
Ste 1
Richmond Hill, GA 31324
Phone (912) 445-5790

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1124657457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063",
            "fax_number": "912-445-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063",
            "fax_number": "912-445-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "LEE BROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-445-6063",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.