Creative ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREATIVE ABA LLC

Practice address

15024 SW 58TH St
Miami, FL 33193-3005

Phone

(786) 389-8581

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Noemi MartinNPI 1629589429

Title

President

Phone

(786) 389-8581

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noemi Martin

  • Behavior Analyst
  • Miami, FL
  • NPI 1629589429
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1265210538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024 SW 58TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933005",
            "telephone_number": "786-389-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 SW 58TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933005",
            "telephone_number": "786-389-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-389-8581"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.