Maxable LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAXABLE LLC

Practice address

5022 Broadway St
Pearland, TX 77581-3939

Phone

(334) 740-4523

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Jaeyeon Jeff Kim

Title

General Manager

Phone

(334) 740-4523

Specialties & licenses 3

Addresses

Other names 1

• SOS-Pearland Doing business as

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1639744899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813939",
            "telephone_number": "334-740-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXABLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAEYEON",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "334-740-4523"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS-Pearland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOS-Pearland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Master Imaging, LLC
• Kristin Mata
• Lisa Mata
• Sonia Mathew, FNP-C
• Tiffany Lynn Mauldin, PA
• Rebecca Helena Maxwell, M.D.
• Maxwello Inc.
• Stephanie A May, PNP
• Prachi Mayenkar, MD
• Mays MD PA

• Behavior Analyst in Pearland, TX
• Providers in Pearland, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.