Adbaca LLC

Key facts

NPI

1053096271

Entity type

Organization (NPI type 2)

Primary specialty

Behavior Analyst 103K00000X

Legal business name

ADBACA LLC

Practice address

1255 E 31St St
Brooklyn, NY 11210-4740

Phone

(929) 466-1305

NPI assigned

Jun 15, 2023

Organization subpart

No

Authorized official

Name

Sim B

Title

Director

Phone

(929) 466-1305

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2023.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1053096271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104740",
            "telephone_number": "929-466-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104740",
            "telephone_number": "929-466-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADBACA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "B",
        "authorized_official_first_name": "SIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "929-466-1305"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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