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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.