Prestige ABA Therapy Services, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PRESTIGE ABA THERAPY SERVICES, INC

Practice address

855 Waterman Ave Ste D
East Providence, RI 02914-1700

Phone

(401) 219-1351

Fax

(401) 210-1850

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Courtney Langello, MS, CCC-SLPNPI 1447433271

Title

Owner

Phone

(401) 678-0243

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Courtney Langello

  • Speech-Language Pathologist
  • East Providence, RI
  • NPI 1447433271
  NPD Authorized official
• Lisa Marsh, MED, BCBA, LBA

  • Behavior Analyst
  • East Providence, RI
  • NPI 1285406629
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1407459233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143221",
            "telephone_number": "401-678-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 WATERMAN AVE STE D",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141700",
            "telephone_number": "401-219-1351",
            "fax_number": "401-210-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ABA THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "LANGELLO",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-678-0243",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ponte, NP
• Lindsay Anne Potts
• Matthew Jon Poyant, RPH
• Premier Medical Group, Professional Corporation
• Mitchell Pressman, MD
• Caren Prideaux, LICSW
• Cheryl Prignano, ACNP-BC
• Primary Medical Center and Walk-in LLC
• Primary Walk-in Medical Urgent Care LLC
• Prism Health & Medical Equipment LLC

• Behavior Analyst in East Providence, RI
• Providers in East Providence, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.