Success Abound ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUCCESS ABOUND ABA

Practice address

6 Mager Ave
Liberty, NY 12754-1337

Phone

(917) 960-0552

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Simcha B

Title

Director

Phone

(917) 960-0552

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1053028399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAGER AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541337",
            "telephone_number": "917-960-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAGER AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541337",
            "telephone_number": "917-960-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS ABOUND ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "B",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-960-0552"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "successaboundaba.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Mager Ave",
            "city": "Liberty",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127541337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen Stabak
• Chelsie Marie Stauch
• Melissa Stickle, LCSW R
• Kelsey Stoddard, LMSW
• Fiona Streimer
• Sullivan County Boces
• Sullivan County Physical Therapy,PC
• Sullivan County Public Health Services
• Sullivan County Public Health Services
• Sullivan County Public Health Services

• Behavior Analyst in Liberty, NY
• Providers in Liberty, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.