Organization Active NPI

MK ABA, LLC

Doing business as Ember ABA

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1720667173
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MK ABA, LLC
Doing business as
Ember ABA
Practice address
2401 N Harbor City Blvd
Melbourne, FL 32935-6657
Phone
(321) 254-0313
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Melissa Knoll, AONPI 1699136366
Title
Owner and Director
Phone
(321) 960-3986

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2401 N Harbor City Blvd
Melbourne, FL 32935-6657

Mailing address

271 McClain Dr
West Melbourne, FL 32904-5105
Phone (321) 960-3986

Other names 1

  • Ember ABA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://app.accupoint.app/login?message=Your+email+was+verified%2C+please+use+your+credentials+to+lo Direct

National Provider Directory

National Provider Directory

Locations

2401 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 254-0313

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1720667173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MCCLAIN DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329045105",
            "telephone_number": "321-960-3986",
            "fax_number": "321-821-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356657",
            "telephone_number": "321-254-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "321-960-3986",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.accupoint.app/login?message=Your+email+was+verified%2C+please+use+your+credentials+to+lo",
            "affiliation": "N",
            "endpointDescription": "Accupoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2401 N Harbor City Blvd",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329356657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ember ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.