Kids Club ABA Ga LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIDS CLUB ABA GA LLC

Doing business as

Kids Club ABA

Practice address

289 S Culver St
Lawrenceville, GA 30046-4805

Phone

(973) 294-8815

NPI assigned

Nov 3, 2023

Last updated

May 6, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

KIDS CLUB ABA LLCAs reported in NPPES

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

Authorized official

Name

Mr. Moshe Bobker

Title

Manager

Phone

(404) 458-0809

Specialties & licenses 1

Addresses

Other names 1

• Kids Club ABA Doing business as

Locations

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1902679772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWPORT DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543111",
            "telephone_number": "404-458-0809",
            "fax_number": "404-834-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805",
            "telephone_number": "973-294-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rella Blvd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109018114",
            "country_code": "US",
            "telephone_number": "973-294-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS CLUB ABA GA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS CLUB ABA LLC",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-458-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Club ABA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Club ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenear Wimbley Kidd
• Kidney Care Center Gwinnett LLC
• Kidney Hypertension Clinic, PC
• Kidney Specialists of Georgia PC
• Kids Choice Pediatrics,LLC (Venkateswara Rao Dikkala, M.D.)
• Kids Talk Therapy
• Kids Time Pediatrics of Gwinnett LLC (Kids Time Pediatrics)
• Kidspeace National Centers of North America, Inc.
• Kidspeech, Inc.
• Ramona Kilkenny-Lester, NP

• Behavior Analyst in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.