NPIMap

Organization Active NPI

Advanced ABA Inc

  • Early Intervention Provider Agency
  • Campbell, CA
National Provider Identifier
1174863518
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ADVANCED ABA INC
Practice address
1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834
Phone
(845) 814-2642
Fax
(888) 915-5559
NPI assigned
Feb 21, 2013
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Jessica Helble, M.A., BCBANPI 1417458191
Title
Director of Business Operations
Phone
(845) 814-2642

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834

Mailing address

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834
Phone (845) 814-2642

National Provider Directory

National Provider Directory

Locations

1500 E Hamilton Ave
Ste 105
Campbell, CA 95008
Phone (408) 412-2427

1500 E Hamilton Ave
Ste 117
Campbell, CA 95008
Phone (845) 814-2642

6228 Filbert Ave
Ste 3
Orangevale, CA 95662
Phone (845) 814-2642

Practitioners & affiliated clinicians

Practitioners 132

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.

View all 132

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1174863518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "845-814-2642",
            "fax_number": "888-915-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "845-814-2642",
            "fax_number": "888-915-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ABA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "HELBLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "845-814-2642",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.