Organization Active NPI

ABA Autism Services LLC

Doing business as ABA Autism Services

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1821856865
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.