Organization Active NPI

My ABA Family LLC

  • Behavior Analyst
  • Casselberry, FL
National Provider Identifier
1639769276
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MY ABA FAMILY LLC
Practice address
238 Wilshire Blvd Ste 155
Casselberry, FL 32707-5362
Phone
(203) 510-9325
Fax
(407) 704-2556
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Yanko Bermudez Villa
Title
Ambr
Phone
(203) 510-9325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

238 Wilshire Blvd Ste 155
Casselberry, FL 32707-5362

Mailing address

10308 Brownwood Ave
Orlando, FL 32825-6628
Phone (203) 228-7577

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1639769276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10308 BROWNWOOD AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256628",
            "telephone_number": "203-228-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 WILSHIRE BLVD STE 155",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075362",
            "telephone_number": "203-510-9325",
            "fax_number": "407-704-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ABA FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ VILLA",
        "authorized_official_first_name": "YANKO",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "203-510-9325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.