NPIMap

Organization Active NPI

ABA Conquest, LLC

  • Early Intervention Provider Agency
  • Palm City, FL
National Provider Identifier
1467836718
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1-14-16478 Issued in FL
Legal business name
ABA CONQUEST, LLC
Practice address
1365 SW Vizcaya Cir
Palm City, FL 34990-1962
Phone
(772) 349-1186
Fax
(772) 324-8766
NPI assigned
Jul 16, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joseph McGahanNPI 1104296656
Title
Manager
Phone
(772) 349-1186

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-14-16478 FL
Early Intervention Provider Agency 252Y00000X 1-14-16478 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1365 SW Vizcaya Cir
Palm City, FL 34990-1962

Mailing address

1365 SW Vizcaya Cir
Palm City, FL 34990-1962

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2016.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1467836718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 SW VIZCAYA CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 SW VIZCAYA CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901962",
            "telephone_number": "772-349-1186",
            "fax_number": "772-324-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CONQUEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "MCGAHAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-349-1186"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1-14-16478",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "1-14-16478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.