Organization Active NPI

Royal ABA Therapy NE LLC

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1700623949
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Jul 15, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.