OrganizationActive
Southern Roots Aba LLC
NPI 1588467443 · Behavior Analyst · Fayetteville, GA
Southern Roots Aba LLC is a Behavior Analyst organization in Fayetteville, GA (NPI 1588467443).
Provider details
- NPI number
- 1588467443
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Angela Spencer, Bcba(678) 967-9604
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
575 Ridgemont Dr
Fayetteville, GA 30215-5084
Phone: (678) 967-9604
Street-level locationGet directions
Mailing address
575 Ridgemont Dr
Fayetteville, GA 30215-5084
Registry dates
- Enumerated
- 2025-03-28
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Frequently asked questions
- What is Southern Roots Aba LLC's NPI number?
- Southern Roots Aba LLC's National Provider Identifier (NPI) is 1588467443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Roots Aba LLC?
- Southern Roots Aba LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Southern Roots Aba LLC located?
- Southern Roots Aba LLC's practice location on file with NPPES is 575 Ridgemont Dr, Fayetteville, GA 30215-5084.
- What is Southern Roots Aba LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Roots Aba LLC is (678) 967-9604.
- Who is the authorized official for Southern Roots Aba LLC?
- The authorized official listed on Southern Roots Aba LLC's NPPES record is Angela Spencer, Bcba. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Roots Aba LLC's NPI active?
- Yes — Southern Roots Aba LLC's NPI (1588467443) is active in the NPPES registry as of the last update on 2025-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.