Georgia Applied Behavior Analysis LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GEORGIA APPLIED BEHAVIOR ANALYSIS LLC

Practice address

1201 W Peachtree St Ste 2385
Atlanta, GA 30309-3449

Phone

(404) 594-8884

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By 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

Issac Wieder

Title

Ceo

Phone

(404) 594-8884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1558158600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST STE 2385",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093449",
            "telephone_number": "404-594-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST STE 2385",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093449",
            "telephone_number": "404-594-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA APPLIED BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-594-8884"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, 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 22, 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.