Organization Active NPI

Applied Behavior Therapeutics LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
National Provider Identifier
1285378570
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
APPLIED BEHAVIOR THERAPEUTICS LLC
Practice address
2630 W Broward Blvd Ste 203-2007
Fort Lauderdale, FL 33312-1314
Phone
(954) 709-3996
Fax
(833) 514-1516
NPI assigned
Apr 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Latanya LongNPI 1710434816
Title
Owner/Bcba
Phone
(954) 709-3996

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2630 W Broward Blvd Ste 203-2007
Fort Lauderdale, FL 33312-1314

Mailing address

2630 W Broward Blvd Ste 203-2007
Fort Lauderdale, FL 33312-1314
Phone (954) 709-3996

Other practice location 1

2086 Jodeco Rd # 1474
McDonough, GA 30253-5220
Phone (954) 466-2469

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavior Therapeutics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1285378570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203-2007",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-709-3996",
            "fax_number": "833-514-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203-2007",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-709-3996",
            "fax_number": "833-514-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2086 Jodeco Rd # 1474",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302535220",
            "country_code": "US",
            "telephone_number": "954-466-2469",
            "fax_number": "833-514-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLIED BEHAVIOR THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "954-709-3996"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.