Abiworcester, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

758 Issued in MA

Legal business name

ABIWORCESTER, LLC

Practice address

133 Puritan Ave
Worcester, MA 01604-3230

Phone

(508) 738-2539

NPI assigned

Aug 12, 2016

Last updated

Aug 12, 2016By 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

Mr. Anis Roohi

Title

Cofounder

Phone

(413) 210-1574

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1346794831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PURITAN AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PURITAN AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043230",
            "telephone_number": "508-738-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIWORCESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ROOHI",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "413-210-1574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "758",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Worcester, MA
• Providers in Worcester, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.