Southside Aba LLC
Southside Aba LLC is a healthcare organization registered as Behavior Analyst in Tyrone, GA, holding Type 2 (organization) NPI 1134759608 since 2020. The authorized official on file is Christine Marrero, Clinical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134759608 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southside Aba LLC |
| Practice address | 1135 SENOIA RD, Tyrone, GA, 30290 |
| Phone | 7706263044 |
| Fax | 4702002269 |
| Enumeration date | 2020-01-23 |
| Last updated in NPPES | 2020-01-23 |
Authorized official
| Name | Christine Marrero |
|---|---|
| Title | Clinical Director |
| Phone | 7707076367 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003218736A | Medicaid | GA | — |
Copy-ready billing details
Provider: Southside Aba LLC NPI: 1134759608 Taxonomy: 103K00000X (Behavior Analyst) Address: 1135 SENOIA RD, Tyrone, GA, 30290
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417576992 | Tiffany Trautner | Individual | Behavior Technician | Tyrone, GA |
| 1578183570 | Hilary Leahy | Individual | Behavior Analyst | Tyrone, GA |
| 1043830136 | Kerstin Powell | Individual | Behavior Technician | Tyrone, GA |
| 1811517915 | Jessica Washington | Individual | Behavior Analyst | Tyrone, GA |
| 1053931154 | Virgina Sack | Individual | Behavior Analyst | Tyrone, GA |
| 1558951848 | Robin Boullion | Individual | Behavior Technician | Tyrone, GA |
| 1295516045 | Jana Gills | Individual | Behavior Technician | Tyrone, GA |
Verify this record
Cross-check NPI 1134759608 against the authoritative CMS record: view Southside Aba LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Southside Aba LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-01-23.