Organization Active NPI

Momentum ABA LLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1720401342
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOMENTUM ABA LLC
Practice address
12310 N Shadow Cove Dr
Houston, TX 77082-2504
Phone
(832) 454-4845
NPI assigned
Feb 3, 2014
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Mrs. Adriana Mulder, MBA, MS, BCABANPI 1376973339
Title
Owner/Director
Phone
(832) 454-4845

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

12310 N Shadow Cove Dr
Houston, TX 77082-2504

Mailing address

12310 N Shadow Cove Dr
Houston, TX 77082-2504
Phone (832) 454-4845

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1720401342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 N SHADOW COVE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822504",
            "telephone_number": "832-454-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 N SHADOW COVE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822504",
            "telephone_number": "832-454-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "832-454-4845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MS, BCABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.