NPIMap

Organization Active NPI

Canvas ABA, LLC

  • Behavior Analyst
  • Hampstead, NC
National Provider Identifier
1285394601
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CANVAS ABA, LLC
Practice address
14886 US Highway 17
Hampstead, NC 28443-3217
Phone
(910) 746-7187
NPI assigned
Dec 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Kayla Zambron, M.A., BCBA, LBANPI 1306488861
Title
Owner
Phone
(910) 746-7187

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

14886 US Highway 17
Hampstead, NC 28443-3217

Mailing address

770 Highlands Dr
Hampstead, NC 28443-7438

Other practice location 1

770 Highlands Dr
Hampstead, NC 28443-7438
Phone (910) 746-7187

National Provider Directory

National Provider Directory

Locations

14886 US Highway 17
Hampstead, NC 28443
Phone (910) 406-1200

Practitioners & affiliated clinicians

Practitioners 9

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": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1285394601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 HIGHLANDS DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14886 US HIGHWAY 17",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433217",
            "telephone_number": "910-746-7187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284437438",
            "country_code": "US",
            "telephone_number": "910-746-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANVAS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ZAMBRON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-746-7187",
        "authorized_official_credential": "M.A., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.