Organization Active NPI

Vero Beach ABA LLC

  • Community/Behavioral Health Agency
  • Vero Beach, FL
National Provider Identifier
1750103487
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VERO BEACH ABA LLC
Practice address
1985 Flora LN
Vero Beach, FL 32966-1033
Phone
(772) 291-6654
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Jennifer Denise Borda, BCBANPI 1730559808
Title
Sole Member
Phone
(772) 291-6654

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1985 Flora LN
Vero Beach, FL 32966-1033

Mailing address

1985 Flora LN
Vero Beach, FL 32966-1033
Phone (772) 291-6654

Other identifiers 1

IdentifierTypeStateIssuer
1730559808MedicaidFL

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1750103487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 FLORA LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661033",
            "telephone_number": "772-291-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 FLORA LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661033",
            "telephone_number": "772-291-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO BEACH ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BORDA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "772-291-6654",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730559808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.