ABA SPECIALISTS ATLANTA LLLP — NPI 1710573449 (Licensed & Credentialed Behavior Analyst in DULUTH, GA)

CMS-1500 Box 24J / 33a • NPI

1710573449

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

3775 VENTURE DR STE M101, DULUTH, GA, 30096-5217

✓ 9-Digit EDI 837 ZIP+4 (30096-5217)

Practice Phone & Referral Fax

(470) 610-4222

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710573449 (ABA SPECIALISTS ATLANTA LLLP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710573449` (NPI-2 Organization / Facility)
Provider / Legal Name	ABA SPECIALISTS ATLANTA LLLP
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3775 VENTURE DR STE M101, DULUTH, GA, 30096-5217
Practice Telephone / Fax	Tel: (470) 610-4222
Administrative Mailing Address	3775 VENTURE DR STE M101, DULUTH, GA, 30096-5217
Enumeration & Last Sync	Enumerated: 2020-12-16 \| CMS Record Updated: 2021-02-23
Authorized Official	FRANCISCO MATOS (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3775 VENTURE DR STE M101, DULUTH, GA, 30096-5217

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABA SPECIALISTS ATLANTA LLLP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106E00000X` — Assistant Behavior Analyst Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Assistant Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Secondary
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Secondary
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ABA SPECIALISTS ATLANTA LLLP (NPI #1710573449)