NPIMap

Organization Active NPI

ABA Outreach

  • Behavior Analyst
  • Charleston, SC
National Provider Identifier
1336383306
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA OUTREACH
Practice address
828 Wappoo Road
Charleston, SC 29407-3513
Phone
(843) 297-8470
NPI assigned
Apr 21, 2009
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Kerri Pakurar, BCBANPI 1336380054
Title
Director
Phone
(843) 297-8470

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
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

828 Wappoo Road
Charleston, SC 29407-3513

Mailing address

PO Box 21385
Charleston, SC 29413-1385
Phone (843) 297-8470

National Provider Directory

National Provider Directory

Locations

828 Wappoo Rd
Charleston, SC 29407
Phone (843) 297-8470

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1336383306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21385",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294131385",
            "telephone_number": "843-297-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 WAPPOO ROAD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073513",
            "telephone_number": "843-297-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "PAKURAR",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-297-8470",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.