Organization Active NPI

Holistic ABA Care LLC

  • Behavior Analyst
  • Moore, SC
National Provider Identifier
1194647388
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HOLISTIC ABA CARE LLC
Practice address
1109 Matisse Cir
Moore, SC 29369-9825
Phone
(561) 563-9624
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Elizabet SerranoNPI 1467939231
Title
Co-Owner
Phone
(561) 563-9624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1109 Matisse Cir
Moore, SC 29369-9825

Mailing address

1109 Matisse Cir
Moore, SC 29369-9825
Phone (561) 563-9624

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1194647388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MATISSE CIR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699825",
            "telephone_number": "561-563-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MATISSE CIR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699825",
            "telephone_number": "561-563-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ABA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "ELIZABET",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-563-9624"
    },
    "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 Moore, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.