Healthcare Provider Details

I. General information

NPI: 1134030943
Provider Name (Legal Business Name): ADAPTIVE CARE ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11175 CICERO DRIVE BUILDING 200 SUITE 159
ALPHARETTA GA
30022
US

IV. Provider business mailing address

4575 WEBB BRIDGE RD PO BOX 3882
ALPHARETTA GA
30023
US

V. Phone/Fax

Practice location:
  • Phone: 917-924-3831
  • Fax:
Mailing address:
  • Phone: 917-924-3831
  • 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: MANSI D KURANI
Title or Position: OWNER
Credential: BCBA
Phone: 917-924-3831