Triangle ABA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRIANGLE ABA LLC

Practice address

1600 Hillsborough St
Raleigh, NC 27605-1639

Phone

(561) 310-5195

Fax

(919) 504-4171

NPI assigned

Aug 18, 2020

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Nelms, BCBANPI 1962895052

Title

Founder/Owner

Phone

(561) 310-5195

Specialties & licenses 5

Addresses

Other identifiers 3

Electronic endpoints 2

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Nelms

  • Behavior Analyst
  • Boynton Beach, FL
  • NPI 1962895052
  NPD Authorized official
• Joseph Chibuike Ike

  • Assistant Behavior Analyst
  • Raleigh, NC
  • NPI 1356213573
  NPD
• Amanda R Dean, MA

  • Behavior Analyst
  • Cary, NC
  • NPI 1245719764
  NPD (past)
• Joshua Adam Ginsburg, BCBA

  • Behavior Analyst
  • Cary, NC
  • NPI 1962865329
  NPD (past)
• Kellie Nicole Syfan, M.ED. BCBA

  • Behavior Analyst
  • Cary, NC
  • NPI 1841654241
  NPD (past)
• Caitlin Carroll, BCBA

  • Behavior Analyst
  • Mokena, IL
  • NPI 1134577109
  NPD (past)
• Zachary Morrell

  • Behavior Technician
  • Rock Hill, SC
  • NPI 1821552894
  NPD (past)
• Mehak B Saleem

  • Behavior Analyst
  • Wayne, PA
  • NPI 1215603634
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1407468879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 NORWAY CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168753",
            "telephone_number": "561-310-5195",
            "fax_number": "919-516-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051639",
            "telephone_number": "561-310-5195",
            "fax_number": "919-504-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "561-310-5195",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487832440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962895052",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "103TC0700X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber@triangleaba.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10712 Marthas Way",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276151310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber@triangleaba.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10712 Marthas Way",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276151310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.