Active NPI
Journey ABA SC LLC
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1053000240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- JOURNEY ABA SC LLC
- Practice address
- 1320 Main St Ste 300
Columbia, SC 29201-3266 - Phone
- (617) 910-1414
- NPI assigned
- May 3, 2023
- Last updated
- May 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Hausman
- Title
- VP of Operations
- Phone
- (617) 910-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
1320 Main St Ste 300
Columbia, SC 29201-3266
Mailing address
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone (617) 910-1414
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1053000240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 MAIN ST STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013266",
"telephone_number": "617-910-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MAIN ST STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013266",
"telephone_number": "617-910-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY ABA SC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "HAUSMAN",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "617-910-1414"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.