Organization Active NPI

Kids Place 4 ABA, LLC

  • Behavior Technician
  • Reno, NV
National Provider Identifier
1245995802
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
KIDS PLACE 4 ABA, LLC
Practice address
2106 Chicory Way
Reno, NV 89509-5844
Phone
(775) 710-1688
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Amy CopenhaverNPI 1114413168
Title
Owner
Phone
(775) 710-1688

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

2106 Chicory Way
Reno, NV 89509-5844

Mailing address

2106 Chicory Way
Reno, NV 89509-5844

Other names 1

  • Kids Place 4 ABA, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kidsplace4aba.com

National Provider Directory

National Provider Directory

Locations

2400 E Katella Ave
Ste 800
Anaheim, CA 92806
Phone (714) 696-2862

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": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1245995802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 CHICORY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 CHICORY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095844",
            "telephone_number": "775-710-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLACE 4 ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-710-1688"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kidsplace4aba.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jkdla;sfjdksla;",
            "address_1": "2106 Chicory Way",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895095844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kids Place 4 ABA, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

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