New Day ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1052189 Issued in GA

Legal business name

NEW DAY ABA THERAPY LLC

Practice address

2450 Atlanta Hwy Ste 902
Cumming, GA 30040-1252

Phone

(770) 282-7676

Fax

(833) 255-5667

NPI assigned

Mar 31, 2018

Organization subpart

No

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

Authorized official

Name

Angie Boltwood

Title

Billing Manager

Phone

(770) 530-9051

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn H Davis, PHD, BCBA-D

  • Behavior Analyst
  • Cumming, GA
  • NPI 1326548199
  NPD
• Nicole Christine Parks, BCBA

  • Behavior Analyst
  • Cumming, GA
  • NPI 1568800175
  NPD (past)
• Cierra Tranum Haynes

  • Behavior Analyst
  • Bruceton, TN
  • NPI 1821578774
  NPD (past)

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1649776592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 902",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "770-282-7676",
            "fax_number": "833-255-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 902",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "770-282-7676",
            "fax_number": "833-255-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAY ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-31",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "BOLTWOOD",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-530-9051"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1052189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003206816A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326548199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Newco Gi LLC (GI North)

• 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 Jun 30, 2019; 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.