Organization Active NPI

Your Kind of ABA LLC

  • Behavior Analyst
  • Stone Mountain, GA
National Provider Identifier
1669278818
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
YOUR KIND OF ABA LLC
Practice address
5055 Memorial Dr Ste a
Stone Mountain, GA 30083-3108
Phone
(317) 469-6010
NPI assigned
Feb 19, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mr. Khari WilliamsNPI 1316555964
Title
Ceo
Phone
(317) 469-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5055 Memorial Dr Ste a
Stone Mountain, GA 30083-3108

Mailing address

5055 Memorial Dr Ste a
Stone Mountain, GA 30083-3108
Phone (317) 469-6010

National Provider Directory

National Provider Directory

Locations

5055 Memorial Dr
#A
Stone Mountain, GA 30083
Phone (317) 469-6010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1669278818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 MEMORIAL DR STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833108",
            "telephone_number": "317-469-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 MEMORIAL DR STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833108",
            "telephone_number": "317-469-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR KIND OF ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KHARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-469-6010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.