NPIMap

Organization Active NPI

Palm Beach ABA Therapy

  • Behavior Analyst
  • Greenacres, FL
National Provider Identifier
1124957733
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PALM BEACH ABA THERAPY
Practice address
820 Sky Pine Way Apt H2
Greenacres, FL 33415-9036
Phone
(561) 420-3902
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Victor Omar PenaNPI 1609506633
Title
Ownwer/Ceo
Phone
(561) 420-3902

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

820 Sky Pine Way Apt H2
Greenacres, FL 33415-9036

Mailing address

820 Sky Pine Way Apt H2
Greenacres, FL 33415-9036
Phone (561) 420-3902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1124957733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SKY PINE WAY APT H2",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334159036",
            "telephone_number": "561-420-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SKY PINE WAY APT H2",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334159036",
            "telephone_number": "561-420-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNWER/CEO",
        "authorized_official_telephone_number": "561-420-3902"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.