NPIMap

Organization Active NPI

Family ABA, LLC

  • Behavior Analyst
  • Lexington, MA
National Provider Identifier
1407377229
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FAMILY ABA, LLC
Practice address
421 Bedford St
Lexington, MA 02420-1536
Phone
(617) 803-0843
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maria Bates, BCBA
Title
Owner/ Behavior Analyst
Phone
(618) 803-0843

Specialties & licenses 1

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

Addresses

Primary practice location

421 Bedford St
Lexington, MA 02420-1536

Mailing address

421 Bedford Street
Lexington, MA 02420
Phone (617) 803-0843

Other identifiers 1

IdentifierTypeStateIssuer
1124201488OtherASD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407377229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BEDFORD STREET",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "617-803-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201536",
            "telephone_number": "617-803-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/ BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "618-803-0843",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASD",
            "identifier": "1124201488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.