Supersonic ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUPERSONIC ABA LLC

Practice address

22600 Ascoa CT
Strongsville, OH 44149-4700

Phone

(216) 260-4847

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Susan Som, MA, BCBA, COBA

Title

Ceo/Clinical Director

Phone

(317) 225-9119

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Susan D Glenn, MA, BCBA, COBA

  • Behavior Analyst
  • Strongsville, OH
  • NPI 1487201711
  NPD
• Lillian Skyler Eldridge, BCBA

  • Behavior Analyst
  • Greenwood, IN
  • NPI 1043701873
  NPD (past)

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1144938564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 ASCOA CT",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494700",
            "telephone_number": "216-260-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 ASCOA CT",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494700",
            "telephone_number": "216-260-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSONIC ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "SOM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "317-225-9119",
        "authorized_official_credential": "MA, BCBA, COBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strongsville Vista Operations, LLC
• Jessica Christine Stroud, PA-C
• Sierra Stypa, LISW
• Mary Lou Sull, PCC-S,LSW,LICDC
• Lucas Allen Summers, DC
• Catherine Celeste Sutherland
• Kelly Nye Sutherland, PT
• Izumi Suzuki, MD
• Michelle Svoboda
• Kristin Elizabeth Swihart, MSW, LISW-S

• Behavior Analyst in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Behavior Analyst in Ohio

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