Pediatric ABA 3 Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEDIATRIC ABA 3 INC

Practice address

3011 Powell Rd Ste 3a
Tallahassee, FL 32308-6230

Phone

(786) 597-2047

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Wandy Caceres, ABABA

Title

Ceo

Phone

(786) 597-2047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1477041028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 POWELL RD STE 3A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086230",
            "telephone_number": "786-597-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 POWELL RD STE 3A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086230",
            "telephone_number": "786-597-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ABA 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "WANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-597-2047",
        "authorized_official_credential": "ABABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca F Peck, APRN
• Debra Pedersen, ARNP
• Pediatria Healthcare, LLC
• Pediatria Healthcare, LLC
• Pediatria Healthcare, LLC
• Pediatric Therapy Services Tallahassee
• Pediatrix Medical Group of Florida, Inc
• Pediatrix Medical Group of Florida, Inc
• Pediatrix Medical Group of Florida, Inc
• Bruce Allen Pedigo, LCSW, LMFT, ED.D

• Community/Behavioral Health Agency in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.