Kids Club ABA MD LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIDS CLUB ABA MD LLC

Practice address

1 Olympic PL Ste 900
Towson, MD 21204-4113

Phone

(404) 458-0809

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Moishe Bobker

Title

Ceo

Phone

(404) 458-0809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1841001161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWPORT DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543111",
            "telephone_number": "404-458-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL STE 900",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044113",
            "telephone_number": "404-458-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB ABA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-458-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Towson, MD
• Providers in Towson, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.