1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Behavior Analyst
  6. NPI Profile

SOUTHERN ROOTS ABA LLC
NPI 1588467443
Behavior Analyst in Fayetteville, GA

Active since March 28, 2025
575 RIDGEMONT DR, FAYETTEVILLE, GA 30215(678) 967-9604 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southern Roots Aba Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ROOTS ABA LLC (NPI 1588467443) is a healthcare organization registered as a behavior analyst in Fayetteville, Georgia and active in the NPI registry since March 2025. The organization lists Angela Christine Spencer, Bcba, as its authorized official.

NPPES Registry Identity

NPI1588467443
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSOUTHERN ROOTS ABA LLC
Location Address575 RIDGEMONT DRFayetteville, GA 30215-5084
Mailing Address575 Ridgemont DrFayetteville, GA 30215-5084 · (678) 967-9604
Phone(678) 967-9604
Organization SubpartNo
Authorized OfficialAngela Christine SpencerBcba · (678) 967-9604
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1588467443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
575 RIDGEMONT DR, Fayetteville, GA 30215
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA CHRISTINE SPENCER BCBA
Behavior Analyst
575 RIDGEMONT DR
FAYETTEVILLE, GA 30215
Fayette County (678) 967-9604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Roots Aba LLC's NPI number?

The NPI number for Southern Roots Aba LLC is 1588467443. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Southern Roots Aba LLC located?

Southern Roots Aba LLC is located at 575 Ridgemont Dr, Fayetteville, GA 30215. The listed phone number is (678) 967-9604.

What is Southern Roots Aba LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Southern Roots Aba LLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.