Innovative Vitality ABA Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INNOVATIVE VITALITY ABA INC.

Practice address

11211 Rancho Cordova St
Bakersfield, CA 93311-9128

Phone

(661) 477-5977

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By 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

Ms. Namaz Habroun, BCBANPI 1710181185

Title

Owner

Phone

(661) 477-5977

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Namaz Habroun, B.A.

  • Case Manager/Care Coordinator
  • Bakersfield, CA
  • NPI 1710181185

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1407681109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 RANCHO CORDOVA ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119128",
            "telephone_number": "661-477-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 RANCHO CORDOVA ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119128",
            "telephone_number": "661-477-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VITALITY ABA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HABROUN",
        "authorized_official_first_name": "NAMAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-477-5977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.