Active NPI
Royal ABA Therapy NE LLC
- Behavior Analyst
- Omaha, NE
National Provider Identifier
1700623949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ROYAL ABA THERAPY NE LLC
- Practice address
- 1200 Landmark Ctr Ste 300
Omaha, NE 68102-2943 - Phone
- (845) 608-5979
- NPI assigned
- Jul 15, 2024
- 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
- David Ledereich
- Title
- Co- Founder
- Phone
- (845) 608-5979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1200 Landmark Ctr Ste 300
Omaha, NE 68102-2943
Mailing address
1155 E 21St St
Brooklyn, NY 11210-3617
Phone (845) 608-5979
National Provider Directory
National Provider DirectoryLocations
1200 Landmark Ctr
Ste 300
Omaha, NE 68102
Phone (845) 608-5979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1700623949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E 21ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103617",
"telephone_number": "845-608-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LANDMARK CTR STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022943",
"telephone_number": "845-608-5979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL ABA THERAPY NE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-14",
"status": "A",
"authorized_official_last_name": "LEDEREICH",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CO- FOUNDER",
"authorized_official_telephone_number": "845-608-5979"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.