NPIMap

Organization Active NPI

Target ABA

  • Behavior Analyst
  • Wickliffe, OH
National Provider Identifier
1104426949
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TARGET ABA
Practice address
28800 Clark Dr
Wickliffe, OH 44092-2650
Phone
(216) 386-2244
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Authorized official

Name
Joshua Gross
Title
Ceo/Owner
Phone
(216) 343-1198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

28800 Clark Dr
Wickliffe, OH 44092-2650

Mailing address

28800 Clark Dr
Wickliffe, OH 44092-2650
Phone (216) 343-1198

Other names 1

  • On Target ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
On Target ABA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1104426949",
    "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": "216-343-1198",
            "fax_number": "216-343-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 CLARK DR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922650",
            "telephone_number": "216-386-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "216-343-1198"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On Target ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.