Active NPI
ABA Autism Services LLC
Doing business as ABA Autism Services
- Behavior Analyst
- Marietta, GA
National Provider Identifier
1821856865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ABA AUTISM SERVICES LLC
- Doing business as
- ABA Autism Services
- Practice address
- 3000 Windy Hill Rd SE Unit 673301
Marietta, GA 30067-8478 - Phone
- (470) 223-0317
- NPI assigned
- Mar 12, 2024
- Last updated
- Mar 12, 2024
- 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
- Trey Greene
- Title
- Authorized Official
- Phone
- (770) 569-3913
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3000 Windy Hill Rd SE Unit 673301
Marietta, GA 30067-8478
Mailing address
3000 Windy Hill Rd SE Unit 673301
Marietta, GA 30067-8478
Other names 1
- ABA Autism Services
National Provider Directory
National Provider DirectoryLocations
3000 Windy Hill Rd SE
Unit 673301
Marietta, GA 30067
Phone (470) 223-0317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1821856865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WINDY HILL RD SE UNIT 673301",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WINDY HILL RD SE UNIT 673301",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678478",
"telephone_number": "470-223-0317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA AUTISM SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "TREY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "770-569-3913"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ABA Autism Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.