NPIMap

Organization Active NPI

Lifebuoy ABA, LLC

Doing business as Lifebuoy ABA

  • Developmental Disabilities Clinic/Center
  • Gainesville, VA
National Provider Identifier
1285467399
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
LIFEBUOY ABA, LLC
Doing business as
Lifebuoy ABA
Practice address
8311 Kinsley Mill PL
Gainesville, VA 20155-1730
Phone
(703) 980-9193
NPI assigned
Aug 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mohamed AhmedNPI 1477492841
Title
Owner
Phone
(703) 980-9193

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

8311 Kinsley Mill PL
Gainesville, VA 20155-1730

Mailing address

8311 Kinsley Mill PL
Gainesville, VA 20155-1730
Phone (703) 980-9193

Other names 1

  • Lifebuoy ABA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1285467399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 KINSLEY MILL PL",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551730",
            "telephone_number": "703-980-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 KINSLEY MILL PL",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551730",
            "telephone_number": "703-980-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBUOY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-980-9193"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifebuoy ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.