Organization Active NPI

Regency ABA LLC

  • Behavior Analyst
  • Acworth, GA
National Provider Identifier
1801501739
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 14, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.