ABA-la

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA-LA

Practice address

12713 Tyson PL
Granada Hills, CA 91344-1019

Phone

(818) 419-0666

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Maria Helena Kakosimidi, M.S.

Title

Ceo

Phone

(818) 419-0666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1093578262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 TYSON PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441019",
            "telephone_number": "818-419-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 TYSON PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441019",
            "telephone_number": "818-419-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA-LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "KAKOSIMIDI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-419-0666",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "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 Jan 31, 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.