NPIMap

Organization Active NPI

ABA Pediatric Services LLC

  • Behavior Analyst
  • Scottsdale, AZ
National Provider Identifier
1730845405
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA PEDIATRIC SERVICES LLC
Practice address
11133 E Mesquite Dr
Scottsdale, AZ 85262-3530
Phone
(631) 804-4268
NPI assigned
Nov 16, 2021
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Ozgul HolmgrenNPI 1588813372
Title
Manager
Phone
(631) 804-4268

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 AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11133 E Mesquite Dr
Scottsdale, AZ 85262-3530

Mailing address

11133 E Mesquite Dr
Scottsdale, AZ 85262-3530
Phone (631) 804-4268

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1730845405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 E MESQUITE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623530",
            "telephone_number": "631-804-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 E MESQUITE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623530",
            "telephone_number": "631-804-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA PEDIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "HOLMGREN",
        "authorized_official_first_name": "OZGUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-804-4268"
    },
    "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 Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.