Organization Active NPI

ABA Therapy of St Lucie Inc

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
National Provider Identifier
1609598010
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ABA THERAPY OF ST LUCIE INC
Doing business as
ABA Therapy of St Lucie Inc
Practice address
130 S Indian River Dr Ste 202-231
Fort Pierce, FL 34950-4343
Phone
(772) 237-1731
Fax
(772) 209-5871
NPI assigned
Sep 13, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Elizabeth Barrios, MS CCC SLPNPI 1942402805
Title
President
Phone
(772) 237-1731

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

130 S Indian River Dr Ste 202-231
Fort Pierce, FL 34950-4343

Mailing address

2678 SW Acco Rd
Port St Lucie, FL 34953-2813
Phone (772) 621-0061

Other names 1

  • ABA THERAPY OF ST LUCIE INC Doing business as

National Provider Directory

National Provider Directory

Locations

130 S Indian River Dr
Ste 202231
Fort Pierce, FL 34950
Phone (772) 237-1731

Practitioners & affiliated clinicians

Practitioners 1

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": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1609598010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 SW ACCO RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532813",
            "telephone_number": "772-621-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 202-231",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504343",
            "telephone_number": "772-237-1731",
            "fax_number": "772-209-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPY OF ST LUCIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-237-1731",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA THERAPY OF ST LUCIE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA THERAPY OF ST LUCIE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.