NPIMap

Organization Active NPI

Elite ABA Therapy LLC

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1043965346
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELITE ABA THERAPY LLC
Practice address
2306 SW 183Rd Terrace
Miramar, FL 33029
Phone
(786) 848-4047
Fax
(754) 263-5921
NPI assigned
Feb 15, 2022
Last updated
Dec 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Authorized official

Name
Amanda L Jones, MA, BCBANPI 1336663152
Title
Administrative Director
Phone
(786) 848-4047

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2306 SW 183Rd Terrace
Miramar, FL 33029

Mailing address

2306 SW 183Rd Terrace
Miramar, FL 33029
Phone (786) 848-4047

Other practice location 1

679 Kidder St Ste 8
Wilkes Barre Township, PA 18702-6973
Phone (570) 266-0651

National Provider Directory

National Provider Directory

Locations

679 Kidder St
Ste 8
Wilkes Barre Township, PA 18702
Phone (570) 266-0651

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1043965346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 SW 183RD TERRACE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "786-848-4047",
            "fax_number": "754-263-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 SW 183RD TERRACE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "786-848-4047",
            "fax_number": "754-263-5921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 Kidder St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre Township",
            "state": "PA",
            "postal_code": "187026973",
            "country_code": "US",
            "telephone_number": "570-266-0651",
            "fax_number": "754-263-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "786-848-4047",
        "authorized_official_credential": "MA, BCBA"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.