Organization Active NPI

ABA Star Therapy LLC

  • Developmental Disabilities Clinic/Center
  • Pembroke Park, FL
National Provider Identifier
1699322750
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ABA STAR THERAPY LLC
Practice address
4400 W Hallandale Beach Blvd
Pembroke Park, FL 33023-4332
Phone
(305) 921-4245
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Ron Cohen
Title
Owner
Phone
(786) 683-2398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

4400 W Hallandale Beach Blvd
Pembroke Park, FL 33023-4332

Mailing address

18451 NE 27TH PL
Miami, FL 33160-4076
Phone (786) 683-2398

Other practice location 1

18451 NE 27th Pl
Miami, FL 33160-4076
Phone (786) 683-2398

National Provider Directory

National Provider Directory

Locations

4400 W Hallandale Beach Blvd
Pembroke Pines, FL 33023
Phone (305) 921-4245

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1699322750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 NE 27TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331604076",
            "telephone_number": "786-683-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W HALLANDALE BEACH BLVD",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330234332",
            "telephone_number": "305-921-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18451 NE 27th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331604076",
            "country_code": "US",
            "telephone_number": "786-683-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABA STAR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-683-2398"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.