All Around ABA Il LLC

Key facts

NPI

1083483465

Entity type

Organization (NPI type 2)

Primary specialty

Behavior Analyst 103K00000X

Legal business name

ALL AROUND ABA IL LLC

Practice address

1016 W Jackson Blvd
Chicago, IL 60607-2914

Phone

(773) 217-0363

NPI assigned

Dec 27, 2023

Organization subpart

No

Authorized official

Name

Mark Herzka

Title

Owner

Phone

(917) 838-1444

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 Feb 1, 2024.

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1083483465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109520503",
            "telephone_number": "845-533-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072914",
            "telephone_number": "773-217-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AROUND ABA IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HERZKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-838-1444"
    },
    "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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