Organization Active NPI

Pioneer ABA, LLC

  • Behavior Analyst
  • Lakewood Ranch, FL
National Provider Identifier
1770142267
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PIONEER ABA, LLC
Practice address
8430 Enterprise Cir Ste 200
Lakewood Ranch, FL 34202-4180
Phone
(203) 912-6728
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Mr. Louis Marinaccio
Title
Manager
Phone
(203) 912-6728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8430 Enterprise Cir Ste 200
Lakewood Ranch, FL 34202-4180

Mailing address

8430 Enterprise Cir Ste 200
Lakewood Ranch, FL 34202-4180
Phone (203) 912-6728

National Provider Directory

National Provider Directory

Locations

8430 Enterprise Cir
Ste 200
Lakewood Ranch, FL 34202
Phone (203) 912-6728

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1770142267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 ENTERPRISE CIR STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024180",
            "telephone_number": "203-912-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 ENTERPRISE CIR STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024180",
            "telephone_number": "203-912-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MARINACCIO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-912-6728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.