My ABA Thearapy Corp.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MY ABA THEARAPY CORP.

Practice address

144 NW 11 Street
Suite 101
Homestead, FL 33030

Phone

(305) 910-3247

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Suzan Neblett, P

Title

Owner

Phone

(305) 910-3247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1346788494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 NW 11 STREET",
            "address_2": "SUITE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "305-910-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NW 11 STREET",
            "address_2": "SUITE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "305-910-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ABA THEARAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "NEBLETT",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-910-3247",
        "authorized_official_credential": "P"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.