Organization Active NPI

Advanceable VA ABA LLC

Doing business as Advanceable ABA

  • Behavior Analyst
  • Farmville, VA
National Provider Identifier
1619716206
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADVANCEABLE VA ABA LLC
Doing business as
Advanceable ABA
Practice address
303 Holman St
Farmville, VA 23901
Phone
(948) 222-4968
Fax
(804) 710-2054
NPI assigned
May 22, 2024
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Michael Wassner
Title
Ceo
Phone
(948) 222-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

303 Holman St
Farmville, VA 23901

Mailing address

1007 Broadway
Woodmere, NY 11598-1246
Phone (948) 222-4968

Other names 1

  • Advanceable ABA Doing business as

National Provider Directory

National Provider Directory

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1619716206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981246",
            "telephone_number": "948-222-4968",
            "fax_number": "804-710-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HOLMAN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "948-222-4968",
            "fax_number": "804-710-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEABLE VA ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WASSNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "948-222-4968"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanceable ABA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanceable ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.