NPIMap

Organization Active NPI

Reveresco ABA Therapy, LLC

  • Behavior Analyst
  • Pompano Beach, FL
National Provider Identifier
1790022184
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
REVERESCO ABA THERAPY, LLC
Practice address
911 E Atlantic Blvd Ste 108a
Pompano Beach, FL 33060-7372
Phone
(954) 941-2323
Fax
(954) 692-9184
NPI assigned
Jan 6, 2013
Last updated
Jan 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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

Authorized official

Name
Dr. Maria Cammarata, JDNPI 1851669071
Title
Member Manager
Phone
(954) 941-2323

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

911 E Atlantic Blvd Ste 108a
Pompano Beach, FL 33060-7372

Mailing address

911 E Atlantic Blvd Ste 108a
Pompano Beach, FL 33060-7372
Phone (954) 941-2323

National Provider Directory

National Provider Directory

Locations

911 E Atlantic Blvd
Ste 108A
Pompano Beach, FL 33060
Phone (954) 941-2323

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1790022184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E ATLANTIC BLVD STE 108A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607372",
            "telephone_number": "954-941-2323",
            "fax_number": "954-692-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ATLANTIC BLVD STE 108A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607372",
            "telephone_number": "954-941-2323",
            "fax_number": "954-692-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERESCO ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "CAMMARATA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "954-941-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.