Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Roots ABA LLC

Organization Behavior Analyst · NPI 1588467443

Southern Roots ABA LLC is a Behavior Analyst in Fayetteville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

575 Ridgemont Dr
Fayetteville, GA 30215-5084
Phone: (678) 967-9604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1588467443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Spencer — Bcba · (678) 967-9604
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address575 Ridgemont Dr, Fayetteville, GA 30215-5084

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