NPI Code Detail JSON Logo

1356144273 NPI number — FLORIDA ABA THERAPY LLC

NPI Number: 1356144273
Health Care Provider/Practitioner: FLORIDA ABA THERAPY LLC

Information about “1356144273” NPI (FLORIDA ABA THERAPY LLC) exists in 1356144273 in HTML format HTML  |  1356144273 in plain Text format TXT  |  1356144273 in PDF (Portable Document Format) PDF  |  1356144273 in an XML format XML  formats.

NPI Number : 1356144273 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356144273",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FLORIDA ABA THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21 OLIVE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-4058",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-364-6307",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "633 NE 167TH ST STE 1125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33162-2449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-364-6307",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2025",
    "LastUpdateDate": "03/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOLDBERG",
    "AuthorizedOfficialFirstName": "MIRIAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-364-6307",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.