NPIMap

Organization Active NPI

ABA Tree of Functional Skills LLC

  • Behavior Analyst
  • Haines City, FL
National Provider Identifier
1760109565
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA TREE OF FUNCTIONAL SKILLS LLC
Practice address
2378 White Cedar Way
Haines City, FL 33844-4165
Phone
(321) 287-1608
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Authorized official

Name
Angel Manuel Gonzalez Montero, BANPI 1124681002
Title
Bcaba
Phone
(321) 287-1608

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

2378 White Cedar Way
Haines City, FL 33844-4165

Mailing address

2378 White Cedar Way
Haines City, FL 33844-4165
Phone (321) 287-1608

Other names 1

  • ABA TREE OF FUNCTIONAL SKILLS LLC Doing business as

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": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1760109565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 WHITE CEDAR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444165",
            "telephone_number": "321-287-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 WHITE CEDAR WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444165",
            "telephone_number": "321-287-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA TREE OF FUNCTIONAL SKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MONTERO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "BCABA",
        "authorized_official_telephone_number": "321-287-1608",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA TREE OF FUNCTIONAL SKILLS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA TREE OF FUNCTIONAL SKILLS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.