Organization Active NPI

Pink Gazelle ABA

  • Behavior Analyst
  • Boynton Beach, FL
National Provider Identifier
1811636533
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PINK GAZELLE ABA
Practice address
3365 S Federal Hwy Apt C
Boynton Beach, FL 33435-8823
Phone
(561) 281-7102
NPI assigned
Jun 1, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Alexandra Alexis
Title
Manager
Phone
(561) 281-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3365 S Federal Hwy Apt C
Boynton Beach, FL 33435-8823

Mailing address

2701 NE 1St St
Boynton Beach, FL 33435-1803
Phone (561) 281-7102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1811636533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NE 1ST ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334351803",
            "telephone_number": "561-281-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 S FEDERAL HWY APT C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358823",
            "telephone_number": "561-281-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK GAZELLE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-281-7102"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.