NPIMap

Organization Active NPI

Elite Skills ABA LLC

  • Behavior Analyst
  • Wimauma, FL
National Provider Identifier
1013747591
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELITE SKILLS ABA LLC
Practice address
5130 Sable Chime Dr
Wimauma, FL 33598-4170
Phone
(813) 394-0902
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Latonia D ColemanNPI 1942030416
Title
RN
Phone
(813) 394-0902

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

5130 Sable Chime Dr
Wimauma, FL 33598-4170

Mailing address

5130 Sable Chime Dr
Wimauma, FL 33598-4170
Phone (813) 394-0902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1013747591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SABLE CHIME DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984170",
            "telephone_number": "813-394-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SABLE CHIME DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984170",
            "telephone_number": "813-394-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SKILLS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "813-394-0902"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.