Organization Active NPI

Serv ABA LLC

  • Behavior Analyst
  • Menifee, CA
National Provider Identifier
1396535969
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SERV ABA LLC
Practice address
26822 Cherry Hills Blvd Unit 164
Menifee, CA 92586-7007
Phone
(951) 606-4001
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Christine Mae Johnson-Coppage
Title
Operations Manager
Phone
(951) 606-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

26822 Cherry Hills Blvd Unit 164
Menifee, CA 92586-7007

Mailing address

26822 Cherry Hills Blvd Unit 164
Menifee, CA 92586-7007
Phone (951) 606-4001

Other names 1

  • SERV ABA Doing business as

National Provider Directory

National Provider Directory

Locations

26822 Cherry Hills Blvd
Unit 164
Menifee, CA 92586
Phone (951) 606-4001

Practitioners & affiliated clinicians

Practitioners 1

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": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1396535969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26822 CHERRY HILLS BLVD UNIT 164",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925867007",
            "telephone_number": "951-606-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26822 CHERRY HILLS BLVD UNIT 164",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925867007",
            "telephone_number": "951-606-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-COPPAGE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "951-606-4001"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERV ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.