Kids Club ABA Oh LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIDS CLUB ABA OH LLC

Practice address

20 E Broad St Ste 200
Columbus, OH 43215-0300

Phone

(404) 458-0809

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Moishe Bobker

Title

Ceo

Phone

(404) 458-0809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1699574830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWPORT DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150300",
            "telephone_number": "404-458-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB ABA OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-458-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Kidder, LSW
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• Kidsmiles Pediatric Dental Clinic
• Carey A Kidwell, RPH
• Gregory A Kidwell, MD
• Lori Kidwell, PC
• Robin Kidwell

• Behavior Analyst in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.