Active NPI
CCR ABA Therapy Services Inc
- Behavior Analyst
- Valrico, FL
National Provider Identifier
1699484220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CCR ABA THERAPY SERVICES INC
- Practice address
- 1802 Rudder Dr
Valrico, FL 33594-4480 - Phone
- (561) 812-8666
- NPI assigned
- Nov 22, 2022
- Last updated
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Ramos Abad, M.S., BCBA
- Title
- Owner
- Phone
- (561) 812-8666
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1802 Rudder Dr
Valrico, FL 33594-4480
Mailing address
2001 Lake Breeze CT
Wellington, FL 33414-8073
Phone (561) 812-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBA-1-20-46839 | Other | FL | BACB |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1639731318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1699484220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LAKE BREEZE CT",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148073",
"telephone_number": "561-812-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 RUDDER DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335944480",
"telephone_number": "561-812-8666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCR ABA THERAPY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "RAMOS ABAD",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-812-8666",
"authorized_official_credential": "M.S., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "BCBA-1-20-46839",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.