Organization Active NPI

Victoria NJ ABA LLC

  • Behavior Analyst
  • Johnston, RI
National Provider Identifier
1508694167
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VICTORIA NJ ABA LLC
Practice address
16 Lyman Ave
Johnston, RI 02919-2714
Phone
(862) 417-4746
NPI assigned
Jul 24, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Andres Zuniga, M.ED.NPI 1588492144
Title
Ceo
Phone
(914) 481-3262

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

16 Lyman Ave
Johnston, RI 02919-2714

Mailing address

701 State Route 440 Ste 16 Jersey City, New Jersey
#1094
Jersey City, NJ 07304-1069
Phone (862) 417-4746

National Provider Directory

National Provider Directory
Tax ID family
Victoria NJ ABA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 State Rt 440
Ste 16
Jersey City, NJ 07304
Phone (347) 281-7841

Practitioners & affiliated clinicians

Practitioners 2

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": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1508694167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 STATE ROUTE 440 STE 16 JERSEY CITY, NEW JERSEY",
            "address_2": "#1094",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "862-417-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LYMAN AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192714",
            "telephone_number": "862-417-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA NJ ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-481-3262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.