ABA for Me LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA FOR ME LLC

Practice address

291 Bassett Rd
Bay Village, OH 44140-1202

Phone

(440) 670-4611

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Penmer, M.ED., BCBA COBANPI 1932449170

Title

Owner

Phone

(440) 670-4611

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Andrew M Penmer, M.ED., BCBA, COBA

  • Behavior Analyst
  • Cleveland, OH
  • NPI 1932449170
  NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1801405493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BASSETT RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401202",
            "telephone_number": "440-670-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BASSETT RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401202",
            "telephone_number": "440-670-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA FOR ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PENMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-670-4611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., BCBA COBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST (BCBA)",
            "identifier": "1-13-13181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED OHIO BEHAVIOR ANALYST",
            "identifier": "354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Bay Village, OH
• Providers in Bay Village, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.