MEDICARE: RAINBOW ABA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1609599315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINBOW ABA LLC

Provider Business Mailing Address
First Line	:	100 N PATTERSON ST STE 117
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:	440-841-3857
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N PATTERSON ST STE 117
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31601-5570
Country	:	US
Telephone Number	:	404-590-2550
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MOSHE JACOBOVITCH
Credential	:
Telephone Number	:	440-841-3857

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	09/21/2023

Similar Medicare Providers

1366392094 — TRI- COUNTY CIRCLE OF CARE HOME SERVICES LLC
Practice Location Address:

100 N PATTERSON ST STE 13
VALDOSTA, GA
31601-5570

Practice Phone: 888-341-6018
Practice Fax:

1043332166 — MS. REGINA YVETTE SCRUGGS LCSW, MS
Practice Location Address:

100 N PATTERSON ST STE 50
VALDOSTA, GA
31601-5570

Practice Phone: 229-834-5452
Practice Fax:

1114270436 — PARIS C SHIELDS LCSW
Practice Location Address:

100 N PATTERSON ST # 94
VALDOSTA, GA
31601-5570

Practice Phone: 229-300-7501
Practice Fax:

1720619844 — MICHELLE CATHERINE BROOTEN-BROOKS M.S., LMFT
Practice Location Address:

100 N PATTERSON ST STE 60
VALDOSTA, GA
31601-5570

Practice Phone: 770-750-5638
Practice Fax: 888-388-0456

1407501299 — RELATIONSHIP THERAPY, LLC
Practice Location Address:

100 N PATTERSON ST STE 60
VALDOSTA, GA
31601-5570

Practice Phone: 770-750-5638
Practice Fax: 888-388-0456

1588358642 — TEAMUP THERAPY LLC
Practice Location Address:

100 N PATTERSON ST STE 133
VALDOSTA, GA
31601-5570

Practice Phone: 404-721-4638
Practice Fax:

Directions to “RAINBOW ABA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.