Organization Active NPI

Heartwise Georgia ABA LLC

Doing business as Heartwise Support

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1811710395
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEARTWISE GEORGIA ABA LLC
Doing business as
Heartwise Support
Practice address
3280 Peachtree Rd NE # 7-157
Atlanta, GA 30305-2430
Phone
(718) 400-9077
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Zalmen Lovi
Title
Ceo
Phone
(718) 400-9077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

3280 Peachtree Rd NE # 7-157
Atlanta, GA 30305-2430

Mailing address

4403 15TH Ave Ste 499
Brooklyn, NY 11219-1604
Phone (718) 400-9077

Other names 1

  • Heartwise Support Doing business as

National Provider Directory

National Provider Directory

Locations

3280 Peachtree Rd NE
#7157
Atlanta, GA 30305
Phone (718) 400-9077

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1811710395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 15TH AVE STE 499",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191604",
            "telephone_number": "718-400-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PEACHTREE RD NE # 7-157",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052430",
            "telephone_number": "718-400-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWISE GEORGIA ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "LOVI",
        "authorized_official_first_name": "ZALMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-400-9077"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartwise Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.