NPIMap

Organization Active NPI

Innovation ABA LLC

  • Behavior Analyst
  • Naples, FL
National Provider Identifier
1831706829
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNOVATION ABA LLC
Practice address
3680 31St Ave NE
Naples, FL 34120-4491
Phone
(786) 537-0663
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Mrs. Grissel Price, MSHANPI 1679319537
Title
Owner
Phone
(561) 460-0284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3680 31St Ave NE
Naples, FL 34120-4491

Mailing address

3680 31St Ave NE
Naples, FL 34120-4491
Phone (561) 460-0284

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1831706829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 31ST AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341204491",
            "telephone_number": "561-460-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 31ST AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341204491",
            "telephone_number": "786-537-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "GRISSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-460-0284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSHA"
    },
    "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 Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.