Cardinal ABA Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CARDINAL ABA SERVICES, LLC

Practice address

139 Beal Pkwy SE Unit 107
Fort Walton Beach, FL 32548-5343

Phone

(850) 803-2562

NPI assigned

Jun 19, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachele Elizabeth Sage, BCBANPI 1750898516

Title

Owner

Phone

(850) 803-2562

Specialties & licenses 1

Addresses

Locations

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.

• Rachele Elizabeth Sage, BCBA

  • Behavior Analyst
  • Fort Walton Beach, FL
  • NPI 1750898516
  NPD Authorized official

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1730758277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KNOLLWOOD WAY",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486335",
            "telephone_number": "850-803-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BEAL PKWY SE UNIT 107",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485343",
            "telephone_number": "850-803-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL ABA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "RACHELE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-803-2562",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.