Organization Active NPI

Carolina ABA

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1124524194
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA ABA
Practice address
420 Herlong Ave S Ste 104
Rock Hill, SC 29732-1091
Phone
(803) 328-0587
Fax
(888) 500-7047
NPI assigned
Mar 30, 2018
Last updated
Jul 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Authorized official

Name
Ashley D Anderson, BCBANPI 1023539111
Title
Ceo
Phone
(803) 504-4861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

420 Herlong Ave S Ste 104
Rock Hill, SC 29732-1091

Mailing address

420 Herlong Ave S Ste 104
Rock Hill, SC 29732-1091
Phone (803) 328-0587

Other practice location 1

4395 Dashley Cir
Catawba, SC 29704-9528
Phone (803) 504-4861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688256000000",
    "number": "1124524194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HERLONG AVE S STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321091",
            "telephone_number": "803-328-0587",
            "fax_number": "888-500-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HERLONG AVE S STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321091",
            "telephone_number": "803-328-0587",
            "fax_number": "888-500-7047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4395 Dashley Cir",
            "address_purpose": "LOCATION",
            "city": "Catawba",
            "state": "SC",
            "postal_code": "297049528",
            "country_code": "US",
            "telephone_number": "803-504-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-504-4861",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.