ABA Grateful Care NC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABA GRATEFUL CARE NC

Practice address

10926 David Taylor Dr Ste 120
Charlotte, NC 28262-0039

Phone

(917) 285-0113

NPI assigned

Mar 13, 2024

Last updated

Apr 10, 2024By 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

Reuven Levovitz

Title

Ceo

Phone

(917) 285-0113

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1265290274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BEACH 2ND ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592900",
            "telephone_number": "917-285-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620039",
            "telephone_number": "917-285-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA GRATEFUL CARE NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "LEVOVITZ",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-285-0113"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Aase-Farnum, MA, LCMHCA
• Ole Sami Aassar, M.D.
• Aatm Physical LLC
• ABA Bedrock NC LLC
• ABA Endeavor NC LLC
• ABA Journey LLC
• ABA Language Providers & Logistics SVCS LLC
• Maria Zenaida Ligon Abanilla, PT
• Alvin Abaqueta, M.D.
• Ryan Michael Abarno, DPT

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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