Organization Active NPI

The Abc Group, L.L.C.

  • Behavior Analyst
  • Harrisburg, OR
National Provider Identifier
1104528348
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE ABC GROUP, L.L.C.
Practice address
32663 Bush Garden Dr
Harrisburg, OR 97446-9751
Phone
(503) 780-0292
Fax
(503) 296-5396
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Juan Rafael Mesa
Title
Founder & Owner
Phone
(503) 780-0292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

32663 Bush Garden Dr
Harrisburg, OR 97446-9751

Mailing address

32663 Bush Garden Dr
Harrisburg, OR 97446-9751
Phone (503) 780-0292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1104528348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32663 BUSH GARDEN DR",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "974469751",
            "telephone_number": "503-780-0292",
            "fax_number": "503-296-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32663 BUSH GARDEN DR",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "974469751",
            "telephone_number": "503-780-0292",
            "fax_number": "503-296-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ABC GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "FOUNDER & OWNER",
        "authorized_official_telephone_number": "503-780-0292"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.