Healthcare Provider Details

I. General information

NPI: 1649189820
Provider Name (Legal Business Name): CAHABA CHILD DEVELOPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N JACKSON ST STE 605
MONTGOMERY AL
36104-3821
US

IV. Provider business mailing address

145 S MAPLE DR APT 104
BEVERLY HILLS CA
90212-3360
US

V. Phone/Fax

Practice location:
  • Phone: 424-333-6571
  • Fax:
Mailing address:
  • Phone: 424-333-6571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEAH GADALLAH
Title or Position: OWNER
Credential:
Phone: 424-333-6571