Abundant Abilities LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4450 Issued in FL

Legal business name

ABUNDANT ABILITIES LLC

Practice address

4052 Eastridge Cir
Pompano Beach, FL 33064-1844

Phone

(954) 590-0647

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaketra Miller-Johnson

Title

Owner

Phone

(954) 590-0647

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• William Johnson

  • Behavior Technician
  • Pompano Beach, FL
  • NPI 1881132033
  NPD (past)
• Shaketra Miller

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1639533078
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1679920326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 EASTRIDGE CIR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 EASTRIDGE CIR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641844",
            "telephone_number": "954-590-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT ABILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "SHAKETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-590-0647"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-08-4450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010797300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.