NPIMap

Organization Active NPI

ABA Therapy LLC

  • Behavior Analyst
  • Winston Salem, NC
National Provider Identifier
1790490753
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA THERAPY LLC
Practice address
102 W 3Rd St Ste 11
Winston Salem, NC 27101-3940
Phone
(305) 417-2657
Fax
(855) 656-9641
NPI assigned
Jan 13, 2023
Last updated
May 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Alejandro Werner, BCBANPI 1710316989
Title
Ceo
Phone
(305) 417-2657

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

102 W 3Rd St Ste 11
Winston Salem, NC 27101-3940

Mailing address

102 W 3Rd St Ste 11
Winston Salem, NC 27101-3940

National Provider Directory

National Provider Directory

Locations

102 W 3rd St
Ste 11
Winston Salem, NC 27101
Phone (305) 417-2657

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1790490753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST STE 11",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013940",
            "fax_number": "855-656-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST STE 11",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013940",
            "telephone_number": "305-417-2657",
            "fax_number": "855-656-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-417-2657",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.