P Praxis·MD
● Active Type 2 · Organization

Southside Aba Llc

Behavior Analyst·Tyrone, GA· NPI 1134759608 · Enumerated 2020 · 6 years on NPI
Southside Aba Llc is 1 of 3228 behavior analyst organizations in Georgia.
NPI age
6 years
Enumerated 2020-01-23
Primary specialty
Behavior Analyst
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marrero
Clinical Director
Last NPPES update
2020-01-23
Source: monthly bulk 2026-05

How this organization compares

Across 3228 active behavior analyst providers in Georgia.

NPI age
6 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
1135 Senoia Rd
Tyrone, GA 302901625
📞 7706263044fax 4702002269
Mailing address
1135 Senoia Rd
Tyrone, GA 302901625
📞 7706263044fax 4702002269

Authorized official

Christine Elaine Marrero, BCBA
Clinical Director
📞 7707076367

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Behavior Analyst Primary
    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts...
    taxonomy 103K00000X

Identifiers

TypeValueNotes
05 (GA) 003218736A

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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