NPIMap

Organization Active NPI

ABA Depot LLC

  • Community/Behavioral Health Agency
  • Florence, SC
National Provider Identifier
1003248287
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BACB # 1-11-8879 Issued in SC
Legal business name
ABA DEPOT LLC
Practice address
800 E Cheves St Ste 280
Florence, SC 29506-2652
Phone
(843) 799-0076
Fax
(800) 557-0208
NPI assigned
Jul 30, 2013
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Spears Beckham, BCBANPI 1619303518
Title
Owner
Phone
(843) 799-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X BACB # 1-11-8879 SC Primary

Addresses

Primary practice location

800 E Cheves St Ste 280
Florence, SC 29506-2652

Mailing address

3444 Lakeshore Drive
Florence, SC 29501
Phone (843) 799-0076

Other practice location 1

738 W Liberty St Ste B
Sumter, SC 29150-4745
Phone (803) 757-0208

Other names 1

  • Edsolutions LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1513 Heritage Ln
Florence, SC 29505
Phone (803) 757-1744

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1003248287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 LAKESHORE DRIVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-799-0076",
            "fax_number": "800-557-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 280",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062652",
            "telephone_number": "843-799-0076",
            "fax_number": "800-557-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 W Liberty St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504745",
            "country_code": "US",
            "telephone_number": "803-757-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABA DEPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "SPEARS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-799-0076",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "BACB # 1-11-8879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edsolutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.