NPIMap

Organization Active NPI

Simplyaba, LLC

  • Behavior Analyst
  • Palm City, FL
National Provider Identifier
1306244801
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SIMPLYABA, LLC
Practice address
1765 SW Captains PL
Palm City, FL 34990-1747
Phone
(772) 266-8727
Fax
(772) 494-7093
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Brenda Liner
Title
Office Manager
Phone
(772) 266-8727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X 1031181 FL

Addresses

Primary practice location

1765 SW Captains PL
Palm City, FL 34990-1747

Mailing address

1765 SW Captains PL
Palm City, FL 34990-1747
Phone (772) 266-8727

Other practice location 1

1806 SE Indian St
Stuart, FL 34997-4919
Phone (772) 266-8727

Other practice location 2

65 E Nasa Blvd Ste 101
Melbourne, FL 32901-1961
Phone (772) 266-8727

Other identifiers 2

IdentifierTypeStateIssuer
024404900MedicaidFL
024404901MedicaidFL

Other names 1

  • ABA Foundations Doing business as

National Provider Directory

National Provider Directory

Locations

3375 Burns Rd
Ste 201A
Palm Bch Gdns, FL 33410

1806 SE Indian St
Stuart, FL 34997
Phone (772) 266-8727

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1306244801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 SW CAPTAINS PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901747",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SW CAPTAINS PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901747",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 SE Indian St",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349974919",
            "country_code": "US",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 E Nasa Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011961",
            "country_code": "US",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLYABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "LINER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-266-8727"
    },
    "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": "FL",
            "license": "1031181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024404900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024404901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Foundations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA Foundations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.