| AAAA | Asian Amateur Athletic Association | |
| AAAA | Always Afloat Always Accessible (shipping) | |
| AAAA | Akron Area Arts Alliance | |
| AAAA | American Association Against Acronyms | |
| AAAA | Association of Accredited Advertising Agents Malaysia | |
| AAAA | African American Adoption Agency (Roseville, MN) | |
| AAAA | American Association for the Advancement of Atheism | |
| AAAA | Association of Accredited Advertising Agencies | |
| AAAA | Amateur Athletic Association of America | |
| AAAA | American Academy of Anesthesiologists Assistants | |