Socially Beautiful ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOCIALLY BEAUTIFUL ABA LLC

Practice address

3180 W Woodmen Rd
Colorado Springs, CO 80919-3880

Phone

(469) 307-7471

NPI assigned

Jul 11, 2024

Organization subpart

No

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

Authorized official

Name

Ariane Antionette Madison, M.ED, BCBA

Title

Clinical Director- Bcba

Phone

(719) 428-0483

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1295572758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 DELMONICO DR STE D325",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191899",
            "telephone_number": "719-428-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 W WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193880",
            "telephone_number": "469-307-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIALLY BEAUTIFUL ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ARIANE",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR- BCBA",
        "authorized_official_telephone_number": "719-428-0483",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Colorado Springs, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.