Organization Active NPI

ABA Rocket Stars Inc

  • Behavior Analyst
  • Boynton Beach, FL
National Provider Identifier
1114613957
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA ROCKET STARS INC
Practice address
6566 O Hara Ave
Boynton Beach, FL 33437-3522
Phone
(305) 479-7262
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Juan Antonio Calvo Bonilla
Title
President
Phone
(305) 479-7262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

6566 O Hara Ave
Boynton Beach, FL 33437-3522

Mailing address

6566 O Hara Ave
Boynton Beach, FL 33437-3522
Phone (305) 479-7262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1114613957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6566 O HARA AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373522",
            "telephone_number": "305-479-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 O HARA AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373522",
            "telephone_number": "305-479-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA ROCKET STARS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "CALVO BONILLA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-479-7262"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

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