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
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

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.

Specialties & licenses 2

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

Addresses

Primary practice location

1365 SW Vizcaya Cir
Palm City, FL 34990-1962

Mailing address

1365 SW Vizcaya Cir
Palm City, FL 34990-1962

National Provider Directory

National Provider Directory

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": "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.