Active NPI
Regency ABA LLC
- Behavior Analyst
- Acworth, GA
National Provider Identifier
1801501739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- REGENCY ABA LLC
- Practice address
- 5078 Allatoona Gtwy
Acworth, GA 30101-4906 - Phone
- (404) 441-4700
- NPI assigned
- Jan 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raizy Brach, LBA, BCBA
- Title
- Owner
- Phone
- (212) 203-9323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5078 Allatoona Gtwy
Acworth, GA 30101-4906
Mailing address
728 5TH Ave
Brooklyn, NY 11232-4421
Other practice location 1
233 Arnold Mill Rd Ste 300
Woodstock, GA 30188-7600
Phone (404) 441-4700
National Provider Directory
National Provider DirectoryLocations
5078 Allatoona Gtwy
Acworth, GA 30101
Phone (404) 441-4700
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Acworth, GA
- NPI 1508400136
-
- Behavior Analyst
- Woodstock, GA
- NPI 1225693435
-
- Behavior Analyst
- Woodstock, GA
- NPI 1992414015
-
- Behavior Analyst
- Duluth, GA
- NPI 1114662749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1801501739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112324421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5078 ALLATOONA GTWY",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014906",
"telephone_number": "404-441-4700"
}
],
"practiceLocations": [
{
"address_1": "233 Arnold Mill Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301887600",
"country_code": "US",
"telephone_number": "404-441-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGENCY ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "BRACH",
"authorized_official_first_name": "RAIZY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-203-9323",
"authorized_official_credential": "LBA, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.