NPIMap

Organization Active NPI

ABA Therapy Center LLC

  • Behavior Analyst
  • Richmond Hill, GA
National Provider Identifier
1811316698
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-12747
Legal business name
ABA THERAPY CENTER LLC
Practice address
10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone
(912) 459-9999
Fax
(912) 445-0023
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. William S Tully
Title
Administrative Director
Phone
(912) 459-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-13-12747 Primary

Addresses

Primary practice location

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948

Mailing address

10164 Ford Ave Ste D
Richmond Hill, GA 31324-3948
Phone (912) 459-9999

Other names 1

  • ABA Therapy Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1811316698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE D",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "912-459-9999",
            "fax_number": "912-445-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10164 FORD AVE STE D",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243948",
            "telephone_number": "912-459-9999",
            "fax_number": "912-445-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "912-459-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-13-12747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Therapy Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.