MEDICARE: R HOUSE ABA THERAPY

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1306796958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R HOUSE ABA THERAPY

Provider Business Mailing Address
First Line	:	122 CLEVELAND AVE SW STE C
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-8295
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 CLEVELAND AVE SW STE C
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-8295
Country	:	US
Telephone Number	:	678-913-8746
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ AUTHORIZE OFFICIAL
Name	:	ELENOR DAY
Credential	:
Telephone Number	:	678-913-8746

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “R HOUSE ABA THERAPY ” Practice Location

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