NPIMap

Organization Active NPI

Granite State ABA Services

  • Behavior Analyst
  • North Conway, NH
National Provider Identifier
1063964930
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GRANITE STATE ABA SERVICES
Practice address
170 Kearsarge Rd
North Conway, NH 03860-5331
Phone
(603) 356-6616
Fax
(603) 356-6617
NPI assigned
Oct 26, 2016
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Ariana Lopez
Title
Admin
Phone
(714) 334-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

170 Kearsarge Rd
North Conway, NH 03860-5331

Mailing address

PO Box 955
Glen, NH 03838-0955
Phone (603) 356-6616

Other practice location 1

1131 Main St
Berlin, NH 03570-3035
Phone (714) 334-3839

National Provider Directory

National Provider Directory

Locations

16 Norcross Cir
North Conway, NH 03860
Phone (603) 356-6616

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1063964930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "GLEN",
            "state": "NH",
            "postal_code": "038380955",
            "telephone_number": "603-356-6616",
            "fax_number": "603-356-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KEARSARGE RD",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605331",
            "telephone_number": "603-356-6616",
            "fax_number": "603-356-6617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Main St",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703035",
            "country_code": "US",
            "telephone_number": "714-334-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANITE STATE ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "714-334-3839"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.