Organization Active NPI

Illuminate ABA Services LLC

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1457926560
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ILLUMINATE ABA SERVICES LLC
Practice address
2733 A East 12TH Street
Brooklyn, NY 11235
Phone
(334) 558-6228
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Vickie Drazin
Title
Owner
Phone
(212) 235-1231

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2733 A East 12TH Street
Brooklyn, NY 11235

Mailing address

2733A E 12TH St # C2
Brooklyn, NY 11235-4601
Phone (248) 846-8700

Other practice location 1

525 N Tryon St
Charlotte, NC 28202-0202
Phone (248) 846-8700

Other practice location 2

102 S Tejon St
Colorado Springs, CO 80903-2231
Phone (833) 455-8622

Other practice location 3

20332 Eureka Rd
Taylor, MI 48180-5310
Phone (833) 455-8622

Other practice location 4

27600 Northwestern Hwy Ste 200
Southfield, MI 48034-8466
Phone (833) 455-8622

Other practice location 5

3200 Greenfield Rd
Dearborn, MI 48120-1802
Phone (248) 846-8700

Other practice location 6

7580 Northcliff Ave Ste 500
Brooklyn, OH 44144-3272
Phone (248) 846-8700

Other practice location 7

2111 Golfside Rd
Ypsilanti, MI 48197-1145
Phone (833) 455-8622

Other practice location 8

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (833) 455-8622

Other practice location 9

3801 Sharon Park Ln Ste 100
Cincinnati, OH 45241-4169
Phone (833) 455-8622

National Provider Directory

National Provider Directory

Locations

27600 Northwestern Hwy
Ste 200
Southfield, MI 48034

20332 Eureka Rd
Taylor, MI 48180
Phone (734) 285-6767

2733 E 12th St
Ste C2
Brooklyn, NY 11235

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1457926560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733A E 12TH ST # C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354601",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 A EAST 12TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "334-558-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020202",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "246-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Tejon St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032231",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20332 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481805310",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27600 Northwestern Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480348466",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201802",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Northcliff Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443272",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Golfside Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971145",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Sharon Park Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414169",
            "country_code": "US",
            "telephone_number": "833-455-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINATE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "DRAZIN",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-235-1231"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.