Organization Active NPI

Miracle ABA LLC

  • Behavior Analyst
  • Rockville, MD
National Provider Identifier
1689543118
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MIRACLE ABA LLC
Practice address
12345 Parklawn Dr Ste 200-1152
Rockville, MD 20852-1725
Phone
(410) 231-3833
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Elan Kvitko
Title
Ceo
Phone
(212) 466-6817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

12345 Parklawn Dr Ste 200-1152
Rockville, MD 20852-1725

Mailing address

12345 Parklawn Dr Ste 200-1152
Rockville, MD 20852-1725
Phone (410) 231-3833

National Provider Directory

National Provider Directory

Locations

12345 Parklawn Dr
Ste 2001152
Rockville, MD 20852
Phone (410) 231-3833

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1689543118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200-1152",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "410-231-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200-1152",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "410-231-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "KVITKO",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-466-6817"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.