NPIMap

Organization Active NPI

ABA Connection, LLC

  • Behavior Analyst
  • Saint Augustine, FL
National Provider Identifier
1174029201
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA CONNECTION, LLC
Practice address
175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955
Phone
(904) 201-9129
Fax
(615) 694-3915
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Joshua L StaytonNPI 1124525407
Title
Owner
Phone
(904) 377-1218

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955

Mailing address

23 Sol CT
St Augustine, FL 32095-8493
Phone (904) 201-9129

Other practice location 1

23 Sol Ct
St Augustine, FL 32095
Phone (904) 201-9129

National Provider Directory

National Provider Directory

Locations

175 Cumberland Park Dr
Ste 100
St Augustine, FL 32095
Phone (904) 201-9129

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1174029201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SOL CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958493",
            "telephone_number": "904-201-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CUMBERLAND PARK DR STE 100",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958955",
            "telephone_number": "904-201-9129",
            "fax_number": "615-694-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Sol Ct",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "32095",
            "country_code": "US",
            "telephone_number": "904-201-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABA CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "STAYTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-377-1218"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.