NPIMap

Organization Active NPI

ABA Service Providers, LLC

Doing business as Alabama Autism Academy, LLC

  • Health Service Clinic/Center
  • Decatur, AL
National Provider Identifier
1225770324
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ABA SERVICE PROVIDERS, LLC
Practice address
1690 Beltline Rd SW
Decatur, AL 35601-5505
Phone
(256) 617-3118
Fax
(256) 260-3233
NPI assigned
Apr 9, 2022
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Lucinda Karen Holohan, BCBANPI 1770990632
Title
Owner
Phone
(256) 617-3118

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1690 Beltline Rd SW
Decatur, AL 35601-5505

Mailing address

1690 Beltline Rd SW
Decatur, AL 35601-5505
Phone (256) 617-3118

Other names 1

  • Alabama Autism Academy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1690 Beltline Rd SW
Decatur, AL 35601
Phone (256) 617-3118

Practitioners & affiliated clinicians

Practitioners 12

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": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1225770324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015505",
            "telephone_number": "256-617-3118",
            "fax_number": "256-260-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015505",
            "telephone_number": "256-617-3118",
            "fax_number": "256-260-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SERVICE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "HOLOHAN",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-617-3118",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Autism Academy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alabama Autism Academy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.