ABA Service Providers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA SERVICE PROVIDERS

Practice address

772 Crystal Mist Ave
Sebastian, FL 32958-6145

Phone

(772) 521-4463

Fax

(256) 260-3233

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By 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

Lucinda K Holohan, MS, BCBANPI 1770990632

Title

Owner

Phone

(772) 300-5938

Specialties & licenses 1

Addresses

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.

• Lucinda Karen Holohan

  • Behavior Analyst
  • Sebastian, FL
  • NPI 1770990632
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1740960590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CRYSTAL MIST AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586145",
            "telephone_number": "772-521-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 CRYSTAL MIST AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586145",
            "telephone_number": "772-521-4463",
            "fax_number": "256-260-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SERVICE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HOLOHAN",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-300-5938",
        "authorized_official_credential": "MS, 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 Sebastian, FL
• Providers in Sebastian, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.