Organization Active NPI

Fragile X Life, ABA Group

  • Behavior Analyst
  • Alpharetta, GA
National Provider Identifier
1780249664
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FRAGILE X LIFE, ABA GROUP
Practice address
13010 Morris Rd Ste 600
Alpharetta, GA 30004-5096
Phone
(770) 300-7915
Fax
(470) 826-4629
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Timica Rossetta Radden, BCBANPI 1649785916
Title
Bcba
Phone
(760) 801-2015

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

13010 Morris Rd Ste 600
Alpharetta, GA 30004-5096

Mailing address

13010 Morris Rd Ste 600
Alpharetta, GA 30004-5096
Phone (770) 300-7915

Other names 1

  • Fragile X Life, ABA Group Doing business as

National Provider Directory

National Provider Directory

Locations

13010 Morris Rd
Ste 600
Alpharetta, GA 30004
Phone (404) 454-7799

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1780249664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 MORRIS RD STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045096",
            "telephone_number": "770-300-7915",
            "fax_number": "470-826-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 MORRIS RD STE 600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045096",
            "telephone_number": "770-300-7915",
            "fax_number": "470-826-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGILE X LIFE, ABA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "RADDEN",
        "authorized_official_first_name": "TIMICA",
        "authorized_official_middle_name": "ROSSETTA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "760-801-2015",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fragile X Life, ABA Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fragile X Life, ABA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

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