Avenues ABA NC LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AVENUES ABA NC LLC

Practice address

5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119

Phone

(704) 269-8525

NPI assigned

Apr 12, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naftali Fireman

Title

Coo

Phone

(732) 569-4524

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1114771672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MONTGOMERY AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087571137",
            "telephone_number": "732-569-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "704-269-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES ABA NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "FIREMAN",
        "authorized_official_first_name": "NAFTALI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-569-4524"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.