NPIMap

Organization Active NPI

Greenlight ABA Az LLC

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1790543973
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GREENLIGHT ABA AZ LLC
Practice address
6700 E Speedway Blvd Ste 401
Tucson, AZ 85710-1220
Phone
(877) 881-3090
NPI assigned
Mar 12, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Robert Dov Friedman
Title
Coo
Phone
(718) 614-9823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

6700 E Speedway Blvd Ste 401
Tucson, AZ 85710-1220

Mailing address

6700 E Speedway Blvd Ste 401
Tucson, AZ 85710-1220

Other practice location 1

6385 Corporate Dr Ste 200-41
Colorado Springs, CO 80919-5901
Phone (877) 881-3090

National Provider Directory

National Provider Directory

Locations

6385 Corporate Dr
Ste 200
Colorado Springs, CO 80919
Phone (719) 321-4886

6385 Corporate Dr
Ste 20041
Colorado Springs, CO 80919
Phone (719) 341-1150

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1790543973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 E SPEEDWAY BLVD STE 401",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 E SPEEDWAY BLVD STE 401",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101220",
            "telephone_number": "877-881-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6385 Corporate Dr Ste 200-41",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809195901",
            "country_code": "US",
            "telephone_number": "877-881-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENLIGHT ABA AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOV",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-614-9823"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.