NPIMap

Organization Active NPI

Imagine Applied Behavior Analysis LLC

  • Behavior Analyst
  • Cullman, AL
National Provider Identifier
1740958370
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IMAGINE APPLIED BEHAVIOR ANALYSIS LLC
Practice address
164 Stricklin Rd
Cullman, AL 35057-3305
Phone
(256) 469-8493
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Mr. Jacob Doss, BCBA, LBANPI 1376015743
Title
Executive Director
Phone
(205) 468-0993

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

164 Stricklin Rd
Cullman, AL 35057-3305

Mailing address

164 Stricklin Rd
Cullman, AL 35057-3305
Phone (256) 469-8493

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@imagineaba.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@imagineaba.com

Practitioners & affiliated clinicians

Practitioners 11

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": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1740958370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 STRICKLIN RD",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573305",
            "telephone_number": "256-469-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 STRICKLIN RD",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573305",
            "telephone_number": "256-469-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE APPLIED BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-468-0993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@imagineaba.com",
            "affiliation": "N",
            "endpointDescription": "Organizational Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "164 Stricklin Rd",
            "city": "Cullman",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350573305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.