ABA Twenty-Nine Eleven LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA TWENTY-NINE ELEVEN LLC

Practice address

2755 Carrollton Hwy
Temple, GA 30179-4920

Phone

(404) 275-0514

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Waldrop, BCBANPI 1851802805

Title

Owner/Bcba

Phone

(404) 275-0514

Specialties & licenses 1

Addresses

Other names 1

• ABA 29:11 Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Brogdon Waldrop, BCBA

  • Behavior Analyst
  • Temple, GA
  • NPI 1851802805
  NPD Authorized official
• Neeley Carter, M.A. BCBA

  • Behavior Analyst
  • Temple, GA
  • NPI 1710871058
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1265296107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 CARROLLTON HWY",
            "city": "TEMPLE",
            "state": "GA",
            "postal_code": "301794920",
            "telephone_number": "404-275-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CARROLLTON HWY",
            "city": "TEMPLE",
            "state": "GA",
            "postal_code": "301794920",
            "telephone_number": "404-275-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA TWENTY-NINE ELEVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "404-275-0514",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "ABA 29:11",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Caroline Albertson, ED.D
• Kishani Iene Banks, CLD, PD
• Amanda Denise Bires, PHARMD
• Natalie Brittain, SLP-CCC
• Melanie Danielle Anderson Brown, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.