Organization Active NPI

Florida ABA Therapy LLC

  • Behavior Analyst
  • Gulf Breeze, FL
National Provider Identifier
1629601505
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FLORIDA ABA THERAPY LLC
Practice address
3048 Grand Palm Way
Gulf Breeze, FL 32563-5662
Phone
(843) 901-3258
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Mrs. April Groeneweg, BCBANPI 1386060390
Title
Owner/Founder
Phone
(843) 901-3258

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

3048 Grand Palm Way
Gulf Breeze, FL 32563-5662

Mailing address

3048 Grand Palm Way
Gulf Breeze, FL 32563-5662
Phone (843) 901-3258

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address april.groeneweg@flabatherapy.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1629601505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 GRAND PALM WAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635662",
            "telephone_number": "843-901-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 GRAND PALM WAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635662",
            "telephone_number": "843-901-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "GROENEWEG",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "843-901-3258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "april.groeneweg@flabatherapy.com",
            "affiliation": "N",
            "address_1": "3048 Grand Palm Way",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325635662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.