Organization Active NPI

B&G ABA Support, LLC

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1811543085
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
B&G ABA SUPPORT, LLC
Practice address
8404 Wilsky Blvd Ste 105
Tampa, FL 33615-1515
Phone
(813) 304-0777
Fax
(813) 433-5479
NPI assigned
Aug 14, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Belen L Morales Carvajal
Title
Administrator
Phone
(813) 304-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

8404 Wilsky Blvd Ste 105
Tampa, FL 33615-1515

Mailing address

8404 Wilsky Blvd Ste 105
Tampa, FL 33615-1515
Phone (813) 304-0777

National Provider Directory

National Provider Directory

Locations

8404 Wilsky Blvd
Ste 105
Tampa, FL 33615
Phone (813) 304-0777

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1811543085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-304-0777",
            "fax_number": "813-433-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 WILSKY BLVD STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-304-0777",
            "fax_number": "813-433-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G ABA SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "MORALES CARVAJAL",
        "authorized_official_first_name": "BELEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-304-0777"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.