NPIMap

Organization Active NPI

Mobile Bay ABA, LLC

Doing business as Mobile Bay ABA Autism Center

  • Behavior Analyst
  • Mobile, AL
National Provider Identifier
1770091894
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2017-068 Issued in AL
Legal business name
MOBILE BAY ABA, LLC
Doing business as
Mobile Bay ABA Autism Center
Practice address
1903 Spring Hill Ave
Mobile, AL 36607-2303
Phone
(251) 215-9222
Fax
(888) 844-2292
NPI assigned
Jan 11, 2018
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Dr. Joshua Levine, PH.D., BCBA, LBA
Title
Director
Phone
(251) 215-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2017-068 AL Primary

Addresses

Primary practice location

1903 Spring Hill Ave
Mobile, AL 36607-2303

Mailing address

1903 Spring Hill Ave
Mobile, AL 36607-2303
Phone (251) 215-9222

Other names 1

  • Mobile Bay ABA Autism Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1770091894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072303",
            "telephone_number": "251-215-9222",
            "fax_number": "888-844-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072303",
            "telephone_number": "251-215-9222",
            "fax_number": "888-844-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE BAY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-215-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2017-068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Bay ABA Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.