NPIMap

Organization Active NPI

ABA Spectrum Therapy, LLC

  • Developmental Disabilities Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1629453360
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
1-12-12598 Issued in TX
Legal business name
ABA SPECTRUM THERAPY, LLC
Practice address
2800 E Whitestone Blvd
Ste. 120, PMB 128
Cedar Park, TX 78613-7273
Phone
(512) 337-2882
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Jenny Saavedra, BCBA
Title
Owner/Executive Director
Phone
(512) 337-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 1-12-12598 TX Primary

Addresses

Primary practice location

2800 E Whitestone Blvd
Ste. 120, PMB 128
Cedar Park, TX 78613-7273

Mailing address

2800 E Whitestone Blvd
Ste. 120, PMB 128
Cedar Park, TX 78613-7273

National Provider Directory

National Provider Directory
Tax ID family
ABA Spectrum Therapy 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

800 Crystal Falls Pkwy
Unit 8
Leander, TX 78641
Phone (512) 986-7625

Practitioners & affiliated clinicians

Practitioners 5

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1629453360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E WHITESTONE BLVD",
            "address_2": "STE. 120, PMB 128",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E WHITESTONE BLVD",
            "address_2": "STE. 120, PMB 128",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137273",
            "telephone_number": "512-337-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SPECTRUM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-337-2882",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TX",
            "license": "1-12-12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.