NPIMap

Organization Active NPI

Amigo Care ABA LLC

  • Behavior Analyst
  • Olney, MD
National Provider Identifier
1134895485
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AMIGO CARE ABA LLC
Practice address
17145 Moss Side LN
Olney, MD 20832-2935
Phone
(240) 918-2363
NPI assigned
Aug 17, 2021
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Alexander Arevalo, M.S,M.ED,BCBA,LBANPI 1386241750
Title
Chief Executive Officer
Phone
(240) 918-2363

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

17145 Moss Side LN
Olney, MD 20832-2935

Mailing address

17145 Moss Side LN
Olney, MD 20832-2935

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 127

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.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1134895485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17145 MOSS SIDE LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17145 MOSS SIDE LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322935",
            "telephone_number": "240-918-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO CARE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-918-2363",
        "authorized_official_credential": "M.S,M.ED,BCBA,LBA"
    },
    "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 Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.