Organization Active NPI

Homestead ABA Services LLC

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1003681677
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOMESTEAD ABA SERVICES LLC
Practice address
541 SE 34TH Ter
Homestead, FL 33033-7494
Phone
(305) 397-3815
NPI assigned
Nov 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Authorized official

Name
Marsha P Munroe, BCBANPI 1619611126
Title
MBR
Phone
(305) 397-3815

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

541 SE 34TH Ter
Homestead, FL 33033-7494

Mailing address

541 SE 34TH Ter
Homestead, FL 33033-7494

Other identifiers 1

IdentifierTypeStateIssuer
1891213815MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1003681677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SE 34TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SE 34TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337494",
            "telephone_number": "305-397-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A",
        "authorized_official_last_name": "MUNROE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "305-397-3815",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891213815",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.