Organization Active NPI

ABA Schoolhouse

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1477043255
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA SCHOOLHOUSE
Practice address
9221 E Baseline Rd Ste 109No242
Mesa, AZ 85209-8310
Phone
(805) 325-1421
Fax
(480) 939-3596
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Kelly Bridgeforth, ABA
Title
Owner
Phone
(805) 325-1421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X AZ Primary

Addresses

Primary practice location

9221 E Baseline Rd Ste 109No242
Mesa, AZ 85209-8310

Mailing address

9221 E Baseline Rd Ste 109No242
Mesa, AZ 85209-8310
Phone (805) 325-1421

National Provider Directory

National Provider Directory

Locations

9221 E Baseline Rd
Ste 109NO242
Mesa, AZ 85209
Phone (805) 325-1421

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1477043255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD STE 109NO242",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098310",
            "telephone_number": "805-325-1421",
            "fax_number": "480-939-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD STE 109NO242",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098310",
            "telephone_number": "805-325-1421",
            "fax_number": "480-939-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SCHOOLHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BRIDGEFORTH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-325-1421",
        "authorized_official_credential": "ABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.