NPIMap

Organization Active NPI

Progressive ABA Therapy Group, LLC

  • Behavior Analyst
  • Youngstown, OH
National Provider Identifier
1669948741
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROGRESSIVE ABA THERAPY GROUP, LLC
Practice address
1036 Old Furnace Rd
Youngstown, OH 44511-1338
Phone
(330) 518-2109
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Stephen Ray Flora, PHDNPI 1104391895
Title
Bcba
Phone
(330) 518-2109

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

1036 Old Furnace Rd
Youngstown, OH 44511-1338

Mailing address

1036 Old Furnace Rd
Youngstown, OH 44511-1338
Phone (330) 518-2109

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1669948741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 OLD FURNACE RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111338",
            "telephone_number": "330-518-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 OLD FURNACE RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111338",
            "telephone_number": "330-518-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ABA THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "FLORA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "330-518-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.