Organization Active NPI

Autismness ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Roswell, GA
National Provider Identifier
1346844651
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
AUTISMNESS ABA LLC
Practice address
614 W Crossville Rd
Roswell, GA 30075-2560
Phone
(770) 680-2535
NPI assigned
Nov 27, 2020
Last updated
Nov 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Authorized official

Name
Angela Erisman
Title
Owner
Phone
(813) 468-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

614 W Crossville Rd
Roswell, GA 30075-2560

Mailing address

2231 Sage Mountain CT SW
Marietta, GA 30064-2204

National Provider Directory

National Provider Directory

Locations

614 W Crossville Rd
Roswell, GA 30075
Phone (770) 680-2535

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1346844651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 SAGE MOUNTAIN CT SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752560",
            "telephone_number": "770-680-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISMNESS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "ERISMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-468-7750"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.