Neuro S.P.a.C.E. ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEURO S.P.A.C.E. ABA LLC

Practice address

1501 Crawford Ave
Altoona, PA 16602-4605

Phone

(814) 801-3371

NPI assigned

Jun 9, 2025

Last updated

Aug 13, 2025By 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

Jennifer Waugh, MS, BCBA, LBSNPI 1538912035

Title

Owner/ Director

Phone

(814) 801-3371

Specialties & licenses 3

Addresses

Practitioners 2

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.

• Jennifer Rachle Waugh

  • Behavior Analyst
  • State College, PA
  • NPI 1538912035
  NPD Authorized official
• Nicolette Paige Randazzo Ruiz, MSW, LSW, LBS

  • Social Worker
  • Huntingdon, PA
  • NPI 1770360695
  NPD

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1144114679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CRAWFORD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024605",
            "telephone_number": "814-801-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CRAWFORD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024605",
            "telephone_number": "814-801-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO S.P.A.C.E. ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "814-801-3371",
        "authorized_official_credential": "MS, BCBA, LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nedimyer, PA-C
• Amy E Nedostup, AUD
• Renee Nedwreski
• Todd Daniel Negola, PSY.D.
• Danielle Nelson, CRNP
• Nikita Igorevich Neverov, M.D.
• New Beginnings Christian Counseling LLC
• Matthew E Newlin, MD
• Hugh D Newman, DO
• Danica J Nichols, LPC

• Behavior Analyst in Altoona, PA
• Providers in Altoona, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.