Aviation ABA Therapy MN LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AVIATION ABA THERAPY MN LLC

Practice address

4517 Minnetonka Blvd Ste 300
Minneapolis, MN 55416-5411

Phone

(801) 875-1317

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Reuven Roberts

Title

Ceo

Phone

(801) 875-1317

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1336017409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161902",
            "telephone_number": "801-875-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 MINNETONKA BLVD STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165411",
            "telephone_number": "801-875-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIATION ABA THERAPY MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-875-1317"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE 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": []
}

• Kathleen Averill, NP
• Jack D. Avery, CCC/SLP
• Jacquelyn Avery, PHD
• Max Avery, MA, LPCC, LADC
• Melissa Dodds Avery, CNM PHD
• Avid Behavior Health Services
• Yuval Avidan, MD
• Enrique J Avila III, MD
• Katheleen Avila, M.A. LIC PSYCHOLOGIS
• Emily Aviles, ACNP

• Behavior Analyst in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.