NPIMap

Organization Active NPI

Sky Care ABA, LLC

  • Behavior Analyst
  • Hopkins, MN
National Provider Identifier
1174212344
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SKY CARE ABA, LLC
Practice address
27 14TH Ave N Apt 205
Hopkins, MN 55343-7474
Phone
(952) 393-0229
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Deqo Mohamed, LGSWNPI 1902506215
Title
Supervisor
Phone
(952) 393-0229

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

27 14TH Ave N Apt 205
Hopkins, MN 55343-7474

Mailing address

27 14TH Ave N Apt 205
Hopkins, MN 55343-7474
Phone (952) 393-0229

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1174212344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 14TH AVE N APT 205",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437474",
            "telephone_number": "952-393-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 14TH AVE N APT 205",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437474",
            "telephone_number": "952-393-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY CARE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "DEQO",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "952-393-0229",
        "authorized_official_credential": "LGSW"
    },
    "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 Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.