Organization Active NPI

Behavioral Coach ABA Corp

  • Behavior Analyst
  • Elkins Park, PA
National Provider Identifier
1568289064
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL COACH ABA CORP
Practice address
1800 Beech Ave
Elkins Park, PA 19027-1077
Phone
(215) 459-0294
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mr. Patrick Fleury, M.ED
Title
Chief Executive Officer
Phone
(215) 459-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1800 Beech Ave
Elkins Park, PA 19027-1077

Mailing address

1657 The Fairway Ste 168
Jenkintown, PA 19046-1423
Phone (215) 459-0294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1568289064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 THE FAIRWAY STE 168",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461423",
            "telephone_number": "215-459-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEECH AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271077",
            "telephone_number": "215-459-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL COACH ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "FLEURY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-459-0294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.