Organization Active NPI

Boundless Behavioral LLC

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1710671748
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BOUNDLESS BEHAVIORAL LLC
Practice address
131 Village Pkwy NE BLDG 4
Marietta, GA 30067-4061
Phone
(470) 992-3607
Fax
(470) 787-2104
NPI assigned
Jun 5, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Eric Jermaine Rogers, BCBANPI 1295614477
Title
Ceo
Phone
(470) 992-3607

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

131 Village Pkwy NE BLDG 4
Marietta, GA 30067-4061

Mailing address

3950 Cobb Pkwy NW Ste 106
Acworth, GA 30101-9522
Phone (470) 787-2242

Other practice location 1

3950 Cobb Pkwy NW Ste 106
Acworth, GA 30101-9522
Phone (470) 787-2242

National Provider Directory

National Provider Directory

Locations

3950 Cobb Pkwy NW
Ste 106
Acworth, GA 30101
Phone (470) 787-2242

131 Village Pkwy NE
#4
Marietta, GA 30067
Phone (470) 992-3607

Practitioners & affiliated clinicians

Practitioners 3

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": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1710671748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 106",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019522",
            "telephone_number": "470-787-2242",
            "fax_number": "470-787-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 VILLAGE PKWY NE BLDG 4",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674061",
            "telephone_number": "470-992-3607",
            "fax_number": "470-787-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Cobb Pkwy NW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301019522",
            "country_code": "US",
            "telephone_number": "470-787-2242",
            "fax_number": "470-787-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOUNDLESS BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-992-3607",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.