Wellformed AI

NPI 1356835581 · live from the CMS NPI Registry

Abadvantage LLC

Behavior Analyst in Berkeley Lake, GA. National Provider Identifier 1356835581, active.

NPI record

NPI1356835581 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location4729 Peachtree Industrial Blvd Ste 300, Berkeley Lake, GA 30092
Practice phone470-719-8976
Mailing address3329 Hillside Links Dr, Snellville, GA 30039
EnumeratedJune 20, 2018
Last updatedFebruary 2, 2025
Authorized officialAdner Colon, 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.