Advance ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADVANCE ABA LLC

Practice address

4735 Crestline View Rd
Cumming, GA 30028-6558

Phone

(908) 552-8750

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jayapriya Jothimani

Title

Owner

Phone

(908) 552-8750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1427803196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 CRESTLINE VIEW RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286558",
            "telephone_number": "908-552-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 CRESTLINE VIEW RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286558",
            "telephone_number": "908-552-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "JOTHIMANI",
        "authorized_official_first_name": "JAYAPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-552-8750"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.