Innovative ABA Solutions LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INNOVATIVE ABA SOLUTIONS LLC

Practice address

3825 Henderson Blvd Ste 200
Tampa, FL 33629-5002

Phone

(786) 709-0934

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Kristopher Guarch

Title

Administrator

Phone

(786) 709-0934

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1043896525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SW 9TH ST APT 2008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295002",
            "telephone_number": "786-709-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ABA SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "GUARCH",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-709-0934"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Innocent, DPT
• David Innocenti, MSW
• Miriam Innocenti, LCSW
• Innovacare, LLC (Innovacare)
• Innovage Florida Pace, LLC (InnovAge Greater Colorado PACE)
• Innovative Healthcare of Florida, Inc.
• Innovision Practice Group PA (InnoVision)
• Innovision Practice Group PA (InnoVision)
• Inpatient Consultants of Florida Inc
• Inpatient Consultants of Florida, Inc. (Ipc of Florida)

• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.