Wellformed AI

NPI 1235946302 · live from the CMS NPI Registry

A Leap Of Aba, LLC

Behavior Analyst in Marietta, GA. National Provider Identifier 1235946302, active.

NPI record

NPI1235946302 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2003 Cheatham Woods Dr Sw, Marietta, GA 30008
Practice phone470-899-2989
EnumeratedDecember 12, 2024
Last updatedDecember 24, 2025
Authorized officialGlen Ilunga, Co Owner

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.