NPIMap

Organization Active NPI

Abascape LLC

  • Behavior Analyst
  • Augusta, GA
National Provider Identifier
1740953140
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABASCAPE LLC
Practice address
3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552
Phone
(706) 691-4729
NPI assigned
Jul 30, 2021
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mrs. Mira N Stallings, MS, BCBANPI 1619386703
Title
Bcba/Owner
Phone
(706) 691-4729

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

3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552

Mailing address

2171 Foster Sprouse Rd
Thomson, GA 30824-6918
Phone (706) 691-4729

Other practice location 1

2171 Foster Sprouse Rd
Thomson, GA 30824-6918
Phone (706) 691-4719

National Provider Directory

National Provider Directory

Locations

3633 Wheeler Rd
Ste 320
Augusta, GA 30909
Phone (706) 691-4729

Practitioners & affiliated clinicians

Practitioners 7

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1740953140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 FOSTER SPROUSE RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246918",
            "telephone_number": "706-691-4729",
            "fax_number": "706-843-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD STE 320",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096552",
            "telephone_number": "706-691-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Foster Sprouse Rd",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308246918",
            "country_code": "US",
            "telephone_number": "706-691-4719",
            "fax_number": "706-843-6294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABASCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "MIRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "706-691-4729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.