Rainbow ABA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RAINBOW ABA LLC

Practice address

100 N Patterson St Ste 117
Valdosta, GA 31601-5570

Phone

(404) 590-2550

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Moshe Jacobovitch

Title

Manager

Phone

(440) 841-3857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1609599315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 117",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "440-841-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PATTERSON ST STE 117",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015570",
            "telephone_number": "404-590-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "JACOBOVITCH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-841-3857"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Hunter Rager
• Katherine Anne Ragsdale, R.N. BSN
• Celine Raheem
• Ornob Rahman, MD
• Robin Rahn, RBT
• Rommel Ramesh, MD
• Andrea J. Ramirez, ED.D;LPC
• Karamvir Randhawa, MD
• Cheryl Randolph, OT
• Livingstone Ajit Rasalam, M.D.

• Community/Behavioral Health Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.