MEDICARE: NEURO-ABA

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	:	1811824105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO-ABA

Provider Business Mailing Address
First Line	:	1307 TELHURST CT NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1272
Country	:	US
Telephone Number	:	305-527-4271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1307 TELHURST CT NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1272
Country	:	US
Telephone Number	:	305-527-4271
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	GREY CARTER
Credential	:	BCBA, LBA
Telephone Number	:	305-527-4271

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

Similar Medicare Providers

1295672541 — CODY COMFORT CARE LLC
Practice Location Address:

3543 ESTATES LANDING DR NW
KENNESAW, GA
30144-3750

Practice Phone: 770-249-8310
Practice Fax:

1831036169 — PRIME MEDICAL TRANSPORT LLC
Practice Location Address:

3122 KIRKWOOD DR NW
KENNESAW, GA
30144-2354

Practice Phone: 678-668-9160
Practice Fax:

1619567104 — PATSY ANN HERNDON LPC
Practice Location Address:

4255 WADE GREEN RD NW STE 414
KENNESAW, GA
30144-1763

Practice Phone: 678-213-2194
Practice Fax: 678-922-7767

1396422713 — CAELI TAYLOR
Practice Location Address:

1750 SHILOH RD NW APT 128
KENNESAW, GA
30144-6483

Practice Phone: 325-248-4688
Practice Fax:

1003743634 — KATALYST SPEECH THERAPY
Practice Location Address:

342 MCCOOK CIR NW
KENNESAW, GA
30144-3157

Practice Phone: 810-499-2767
Practice Fax: 866-841-7835

1093642514 — KIMM FREEMAN
Practice Location Address:

750 TOWNPARK LN NW
KENNESAW, GA
30144-5824

Practice Phone: 404-365-0966
Practice Fax:

Directions to “NEURO-ABA ” 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.