Abracadabra ABA PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23127 Issued in FL

Legal business name

ABRACADABRA ABA PLLC

Practice address

1737 Croghan Dr
Melbourne, FL 32940-6014

Phone

(321) 536-8373

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lytysha Ann Dupont, MS, BCBA

Title

Founder

Phone

(321) 536-8373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1215427638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CROGHAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406014",
            "telephone_number": "321-536-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CROGHAN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406014",
            "telephone_number": "321-536-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRACADABRA ABA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "LYTYSHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "321-536-8373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-23127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.