Valley Pediatric ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

VALLEY PEDIATRIC ABA

Practice address

2919 S Ellsworth Rd Ste 115
Mesa, AZ 85212-2165

Phone

(480) 466-0148

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Lauren Michala So, MA, BCBA/LBANPI 1205417235

Title

Bcba

Phone

(602) 579-7961

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Michala So, BCBA

  • Behavior Analyst
  • Gilbert, AZ
  • NPI 1205417235
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1376213421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19760 S MESQUITE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423458",
            "telephone_number": "602-579-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-466-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19760 S Mesquite Dr",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851423458",
            "country_code": "US",
            "telephone_number": "602-579-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHALA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "602-579-7961",
        "authorized_official_credential": "MA, BCBA/LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Medical Equipment, LLC
• Valley Mentors LLC
• Valley Ophthalmic Facial Plastic Surgery PC
• Valley Outpatient Surgical Center Inc
• Valley Oximetry Incorporated
• Valley Pediatric Dentists P.C.
• Valley Plastic Surgery PLLC
• Valley Sleep Physicians, Inc
• Valley Sleep Therapy Inc
• Valley Therapy

• Behavior Analyst in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.