NPI 1093558900 · live from the CMS NPI Registry
Advance Aba LLC
Behavior Analyst in Atlanta, GA. National Provider Identifier 1093558900, active.
NPI record
| NPI | 1093558900 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8735 Dunwoody Pl Ste 5540, Atlanta, GA 30350 |
| Practice phone | 848-210-1993 |
| Mailing address | 407 School Garden St, Lakewood, NJ 08701 |
| Enumerated | June 18, 2024 |
| Last updated | June 18, 2024 |
| Authorized official | Binyomin Wachs, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.