Active NPI
Making Strides ABA Therapy LLC
- Behavior Analyst
- Palm Bay, FL
National Provider Identifier
1114378445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- MAKING STRIDES ABA THERAPY LLC
- Practice address
- 4651 Babcock St NE
Ste 18
Palm Bay, FL 32905-2844 - Phone
- (321) 338-3936
- NPI assigned
- Jun 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiara Santiago, BCBA
- Title
- Owner/Director
- Phone
- (516) 547-5024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4651 Babcock St NE
Ste 18
Palm Bay, FL 32905-2844
Mailing address
4651 Babcock St NE
Ste 18
Palm Bay, FL 32905-2844
National Provider Directory
National Provider DirectoryLocations
4651 Babcock St NE
Ste 18
Palm Bay, FL 32905
Phone (321) 338-3936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467072000000",
"number": "1114378445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 BABCOCK ST NE",
"address_2": "STE 18",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 BABCOCK ST NE",
"address_2": "STE 18",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052844",
"telephone_number": "321-338-3936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKING STRIDES ABA THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "KIARA",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "516-547-5024",
"authorized_official_credential": "BCBA"
},
"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 Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.