Healthcare Provider Details

I. General information

NPI: 1649902172
Provider Name (Legal Business Name): ALL IN OUR CARE ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 PEACHTREE RD NE STE 145
ATLANTA GA
30326-1427
US

IV. Provider business mailing address

3343 PEACHTREE RD NE STE 145-2285
ATLANTA GA
30326-1085
US

V. Phone/Fax

Practice location:
  • Phone: 276-663-0598
  • Fax:
Mailing address:
  • Phone: 276-663-0598
  • Fax: 404-726-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARDAY G TOMONEY
Title or Position: OWNER
Credential:
Phone: 276-663-0598