Organization Active NPI

Living Forward ABA, LLC

  • Behavior Analyst
  • Marion, IN
National Provider Identifier
1205477452
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIVING FORWARD ABA, LLC
Practice address
3426 W Delphi Pike
Marion, IN 46952-9266
Phone
(410) 688-9989
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Anthony Decker
Title
Owner
Phone
(765) 506-0297

Specialties & licenses 1

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

Addresses

Primary practice location

3426 W Delphi Pike
Marion, IN 46952-9266

Mailing address

3426 W Delphi Pike
Marion, IN 46952-9266

National Provider Directory

National Provider Directory

Locations

3426 W Delphi Pike
Marion, IN 46952
Phone (410) 688-9989

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": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1205477452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 W DELPHI PIKE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 W DELPHI PIKE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529266",
            "telephone_number": "410-688-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FORWARD ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-506-0297"
    },
    "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 Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.