Applied Behavior Alternatives

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

8072455 Issued in ID

Legal business name

APPLIED BEHAVIOR ALTERNATIVES

Practice address

1530 W State St
Ste F
Meridian, ID 83642-8503

Phone

(208) 888-2350

Fax

(208) 888-9309

NPI assigned

May 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Miller Tuckett

Title

Administrator

Phone

(208) 888-2350

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063627263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W STATE ST",
            "address_2": "STE F",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428503",
            "telephone_number": "208-888-2350",
            "fax_number": "208-888-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W STATE ST",
            "address_2": "STE F",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428503",
            "telephone_number": "208-888-2350",
            "fax_number": "208-888-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIOR ALTERNATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKETT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-888-2350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "8072455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8072454",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8072455",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Meridian, ID
• Providers in Meridian, ID by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.