Organization Active NPI

Kids Therapy ABA

  • Behavior Analyst
  • Tallahassee, FL
National Provider Identifier
1750048039
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS THERAPY ABA
Doing business as
Kids Therapy ABA
Practice address
113 S Monroe St FL 1
Tallahassee, FL 32301-1529
Phone
(786) 681-8494
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Keyllin Alonso DelgadoNPI 1669934428
Title
Owner
Phone
(786) 681-8494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

113 S Monroe St FL 1
Tallahassee, FL 32301-1529

Mailing address

113 S Monroe St FL 1
Tallahassee, FL 32301-1529
Phone (786) 681-8494

Other identifiers 1

IdentifierTypeStateIssuer
103K00000XMedicaidFL

Other names 1

  • KIDS THERAPY ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kids Therapy ABA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1750048039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MONROE ST FL 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011529",
            "telephone_number": "786-681-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MONROE ST FL 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011529",
            "telephone_number": "786-681-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THERAPY ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "ALONSO DELGADO",
        "authorized_official_first_name": "KEYLLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-681-8494"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS THERAPY ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.