Genesis ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GENESIS ABA, LLC

Practice address

1650 Ashbury LN
Romeoville, IL 60446-4887

Phone

(815) 999-1524

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Ann Miranda, BCBANPI 1619246303

Title

Bcba/Owner

Phone

(815) 999-1524

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbie Ann Miranda, BCBA

  • Behavior Analyst
  • Romeoville, IL
  • NPI 1619246303
  NPD Authorized official
• Cynthia Elena Gonzalez

  • Behavior Analyst
  • La Grange Park, IL
  • NPI 1639665086
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1316693716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ASHBURY LN",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464887",
            "telephone_number": "815-999-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ASHBURY LN",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464887",
            "telephone_number": "815-999-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "815-999-1524",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends Over Fifty Senior Care, Inc.
• Amber Marie Froelich, MA
• Abbey Galusha
• Elizabeth Garcia, PHARMD
• Arnetra Garrett
• Asia Gholar
• Catherine Gianan, NP
• Albert J Gierman, DMD
• Maryann Gilruth, PTA
• Glen Gomez, PTA

• Behavior Analyst in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.