At Home ABA, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

AT HOME ABA, LLC

Practice address

714 Merganser Cir
Glennville, GA 30427-2328

Phone

(912) 492-0888

NPI assigned

Jul 28, 2025

Organization subpart

No

Name

Mr. William Caleb Stanfield

Title

Owner

Phone

(912) 492-0888

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1295618346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MERGANSER CIR",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304272328",
            "telephone_number": "912-492-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MERGANSER CIR",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304272328",
            "telephone_number": "912-492-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "STANFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-492-0888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dasher Anderson, FNP-BC
• Roger W Beville, MD
• Morgan Lynn Bland, LPC, NCC
• Corri Nicole Brewer, LPC
• Jana Lamb Bunch, BSN, RN, MSN, FNP-BC
• Sharmeki Burton

• All providers in Glennville, GA
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.