NPIMap

Organization Active NPI

Sunflower Center ABA Services, LLC

  • Behavior Analyst
  • Enosburg Falls, VT
National Provider Identifier
1386464352
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUNFLOWER CENTER ABA SERVICES, LLC
Practice address
2017 Nichols Rd
Enosburg Falls, VT 05450-5047
Phone
(802) 933-8819
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Krystle Godbout, BCBANPI 1982443123
Title
Owner/Bcba
Phone
(802) 528-6332

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2017 Nichols Rd
Enosburg Falls, VT 05450-5047

Mailing address

PO Box 223
Enosburg Falls, VT 05450-0223
Phone (802) 528-6332

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1386464352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054500223",
            "telephone_number": "802-528-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 NICHOLS RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505047",
            "telephone_number": "802-933-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER CENTER ABA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GODBOUT",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "802-528-6332",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enosburg Falls, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.