Active NPI
Journey ABA Nevada LLC
- Clinic/Center
- Henderson, NV
National Provider Identifier
1487315966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JOURNEY ABA NEVADA LLC
- Practice address
- 871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977 - Phone
- (817) 966-2764
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Edwards
- Title
- VP Revenue Strategy
- Phone
- (817) 966-2764
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Mailing address
10019 Reisterstown Rd FL 3
Owings Mills, MD 21117-3902
Phone (817) 966-2764
Other names 1
- Happy ABA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1487315966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10019 REISTERSTOWN RD FL 3",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173902",
"telephone_number": "817-966-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 CORONADO CENTER DR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523977",
"telephone_number": "817-966-2764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY ABA NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "VP REVENUE STRATEGY",
"authorized_official_telephone_number": "817-966-2764"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Happy ABA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.