Nextgen ABA Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEXTGEN ABA THERAPY

Practice address

5100 W Copans Rd Ste 300
Margate, FL 33063-7700

Phone

(954) 825-3317

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Theodis Fulmore

Title

Owner

Phone

(954) 825-3317

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1801615844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W COPANS RD STE 300",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637700",
            "telephone_number": "954-825-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W COPANS RD STE 300",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637700",
            "telephone_number": "954-825-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "FULMORE",
        "authorized_official_first_name": "THEODIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-825-3317"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Margate, FL
• Providers in Margate, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.