ABA Autism Therapies LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA AUTISM THERAPIES LLC

Practice address

2054 Vista Pkwy Ste 413
West Palm Beach, FL 33411-6741

Phone

(772) 979-2344

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Mariela Petraki, OWNERNPI 1871080580

Title

Bcba

Phone

(305) 709-8974

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.

• Mariela Petraki

  • Behavior Analyst
  • Port Saint Lucie, FL
  • NPI 1871080580
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1730889585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 SW GLORIANA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349874706",
            "telephone_number": "772-979-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 413",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116741",
            "telephone_number": "772-979-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA AUTISM THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PETRAKI",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "305-709-8974",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A2Z Mobile Fistula Ostomy & Wound Services
• Aaa Amalgamated Services, Inc.
• Aaa Florida Clinic, LLC
• Aaddomedpartners PA
• Hayden Aaron, M.D.
• ABA Kids Therapy Care LLC
• ABA Miracle Group LLC
• ABA Semper Discens LLC
• ABA Therapy Institute, LLC
• ABA Therapy of Palm Beach LLC

• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm 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 Mar 12, 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.