ABA Support Service LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

BEH000220 Issued in PA

Legal business name

ABA SUPPORT SERVICE LLC

Practice address

3928 Byron Rd
Huntingdon Valley, PA 19006-2323

Phone

(267) 402-8421

NPI assigned

Jun 5, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen Patricia Bassett, BSLNPI 1447603725

Title

Licensed Behavior Specialist

Phone

(267) 402-8421

Specialties & licenses 1

Addresses

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.

• Kathleen Bassett

  • Behavior Analyst
  • Huntingdon Valley, PA
  • NPI 1447603725
  NPD (past) Authorized official

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465084800000",
    "number": "1700235348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 BYRON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062323",
            "telephone_number": "267-402-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 BYRON RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062323",
            "telephone_number": "267-402-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SUPPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-05",
        "last_updated": "2016-06-05",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "LICENSED BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "267-402-8421",
        "authorized_official_credential": "BSL"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PA",
            "license": "BEH000220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Exclusive Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.