ABA Therapy of Nebraska LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ABA THERAPY OF NEBRASKA LLC

Practice address

200 S 21St St Ste 400a
Lincoln, NE 68510-1044

Phone

(216) 340-8029

NPI assigned

May 24, 2024

Last updated

May 24, 2024By 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

Reuven Green

Title

Manager

Phone

(402) 817-2992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1093554362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 CLARK DR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922650",
            "telephone_number": "216-317-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 21ST ST STE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101044",
            "telephone_number": "216-340-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPY OF NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-817-2992"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.