ABA Super Kids LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA SUPER KIDS LLC

Practice address

1635 Renaissance Commons Blvd Apt 2109
Boynton Beach, FL 33426-8376

Phone

(561) 891-0399

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Maria Davydova, BCBANPI 1114335452

Title

Owner

Phone

(561) 891-0399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Sergeevna Davydova

  • Assistant Behavior Analyst
  • Royal Palm Beach, FL
  • NPI 1114335452
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1073266490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 RENAISSANCE COMMONS BLVD APT 2109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268376",
            "telephone_number": "561-891-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 RENAISSANCE COMMONS BLVD APT 2109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268376",
            "telephone_number": "561-891-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SUPER KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-891-0399",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.