NPIMap

Organization Active NPI

ABA Adaptive Services

  • Behavior Analyst
  • Cardiff, CA
National Provider Identifier
1417465774
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28184 Issued in CO
Legal business name
ABA ADAPTIVE SERVICES
Practice address
2340 Carol View Dr Apt 311
Cardiff, CA 92007-2048
Phone
(734) 795-5988
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Tedi Renee Teabout, M. ED. BCBANPI 1023402377
Title
Ceo
Phone
(760) 230-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-17-28184 CO Primary

Addresses

Primary practice location

2340 Carol View Dr Apt 311
Cardiff, CA 92007-2048

Mailing address

2340 Carol View Dr Apt 311
Cardiff, CA 92007-2048
Phone (734) 795-5988

National Provider Directory

National Provider Directory

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1417465774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 CAROL VIEW DR APT 311",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920072048",
            "telephone_number": "734-795-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CAROL VIEW DR APT 311",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920072048",
            "telephone_number": "734-795-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA ADAPTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "TEABOUT",
        "authorized_official_first_name": "TEDI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-230-1594",
        "authorized_official_credential": "M. ED. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-17-28184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.