OrganizationActive
Southside Aba LLC
NPI 1134759608 · Behavior Analyst · Tyrone, GA
Southside Aba LLC is a Behavior Analyst organization in Tyrone, GA (NPI 1134759608).
Provider details
- NPI number
- 1134759608
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christine Marrero, Clinical Director(770) 707-6367
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1135 Senoia Rd
Tyrone, GA 30290-1625
Phone: (770) 626-3044
Fax: (470) 200-2269
Street-level locationGet directions
Mailing address
1135 Senoia Rd
Tyrone, GA 30290-1625
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Frequently asked questions
- What is Southside Aba LLC's NPI number?
- Southside Aba LLC's National Provider Identifier (NPI) is 1134759608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Aba LLC?
- Southside Aba LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Southside Aba LLC located?
- Southside Aba LLC's practice location on file with NPPES is 1135 Senoia Rd, Tyrone, GA 30290-1625.
- What is Southside Aba LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Aba LLC is (770) 626-3044.
- Who is the authorized official for Southside Aba LLC?
- The authorized official listed on Southside Aba LLC's NPPES record is Christine Marrero, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Aba LLC's NPI active?
- Yes — Southside Aba LLC's NPI (1134759608) is active in the NPPES registry as of the last update on 2020-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.