Organization Active NPI

ABA Star Service LLC

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1457013575
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA STAR SERVICE LLC
Practice address
4410 W 16TH Ave Ste 41
Hialeah, FL 33012-7161
Phone
(786) 267-2830
Fax
(786) 221-3333
NPI assigned
Oct 6, 2021
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Danaisy Pinera Carmona, BCBANPI 1598112120
Title
Director
Phone
(786) 267-2830

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 SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4410 W 16TH Ave Ste 41
Hialeah, FL 33012-7161

Mailing address

4410 W 16TH Ave Ste 41
Hialeah, FL 33012-7161
Phone (786) 267-2830

Other identifiers 1

IdentifierTypeStateIssuer
1-17-26384OtherFLBCBA

National Provider Directory

National Provider Directory

Locations

1140 W 50th St
Ste 304
Hialeah, FL 33012
Phone (305) 823-0535

4410 W 16th Ave
Ste 41
Hialeah, FL 33012
Phone (786) 267-2830

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1457013575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 41",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127161",
            "telephone_number": "786-267-2830",
            "fax_number": "786-221-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 41",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127161",
            "telephone_number": "786-267-2830",
            "fax_number": "786-221-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA STAR SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PINERA CARMONA",
        "authorized_official_first_name": "DANAISY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-267-2830",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-17-26384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.