NPIMap

Organization Active NPI

ABA Therapeutics, LLC

  • Behavior Analyst
  • Stoneham, MA
National Provider Identifier
1437657194
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2189 Issued in MA
Legal business name
ABA THERAPEUTICS, LLC
Practice address
245 North St
Stoneham, MA 02180-2109
Phone
(781) 435-1765
Fax
(781) 435-1765
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Donna-Jo Murphy, LABA
Title
President
Phone
(978) 494-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2189 MA Primary

Addresses

Primary practice location

245 North St
Stoneham, MA 02180-2109

Mailing address

245 North St
Stoneham, MA 02180-2109

Other identifiers 2

IdentifierTypeStateIssuer
961496OtherMABEACON HEALTH OPTIONS
70010000BA0666OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

245 North St
Stoneham, MA 02180
Phone (781) 438-7221

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1437657194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NORTH ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NORTH ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802109",
            "telephone_number": "781-435-1765",
            "fax_number": "781-435-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DONNA-JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-494-2781",
        "authorized_official_credential": "LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "961496",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000BA0666",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.