Organization Active NPI

Verus ABA Solutions. LLC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1417695958
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VERUS ABA SOLUTIONS. LLC
Practice address
5032 Shirley Ave Unit 22
Jacksonville, FL 32210-3253
Phone
(904) 990-8405
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Mr. Kristopher Agustin Guarch
Title
Owner
Phone
(786) 300-6032

Specialties & licenses 1

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

Addresses

Primary practice location

5032 Shirley Ave Unit 22
Jacksonville, FL 32210-3253

Mailing address

5032 Shirley Ave Unit 22
Jacksonville, FL 32210-3253
Phone (904) 990-8405

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL desktop

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1417695958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 SHIRLEY AVE UNIT 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103253",
            "telephone_number": "904-990-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 SHIRLEY AVE UNIT 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103253",
            "telephone_number": "904-990-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERUS ABA SOLUTIONS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GUARCH",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "AGUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-300-6032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "5032 Shirley Avenue",
            "address_2": "Unit 22",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.