Pediatric ABA 9 Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEDIATRIC ABA 9 INC

Practice address

200 S Beach St Ste 204
Daytona Beach, FL 32114-4404

Phone

(786) 597-2047

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Wandy Caceres, ABAB

Title

Owner

Phone

(786) 597-2047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1144711334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BEACH ST STE 204",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144404",
            "telephone_number": "786-597-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BEACH ST STE 204",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144404",
            "telephone_number": "786-597-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ABA 9 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "WANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-597-2047",
        "authorized_official_credential": "ABAB"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pease, APRN, FNP-BC
• Faith Ann Peats
• Benjamin J Peck, MD
• Lisa Marie Peck, LPN
• Rebecca Ann Peck, MD
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatrix Medical Group of Florida, Inc
• Lawrence Lindsay Pedley Jr., PA-C
• Anna Peele

• Community/Behavioral Health Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.