Organization Active NPI

Autism Therapy ABA Services LLC

  • Behavior Analyst
  • Melbourne Beach, FL
National Provider Identifier
1104741420
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM THERAPY ABA SERVICES LLC
Practice address
5025 Palm Dr
Melbourne Beach, FL 32951-3204
Phone
(321) 795-2768
NPI assigned
Aug 13, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Cole Smith
Title
Ceo
Phone
(321) 795-2768

Specialties & licenses 1

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

Addresses

Primary practice location

5025 Palm Dr
Melbourne Beach, FL 32951-3204

Mailing address

5025 Palm Dr
Melbourne Beach, FL 32951-3204
Phone (321) 795-2768

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1104741420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 PALM DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513204",
            "telephone_number": "321-795-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 PALM DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513204",
            "telephone_number": "321-795-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPY ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-795-2768"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.