Philly ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PHILLY ABA THERAPY LLC

Practice address

7244 Castor Ave # 8201
Philadelphia, PA 19149-1109

Phone

(215) 960-0174

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Vladimir Kogan

Title

Ceo

Phone

(215) 960-0174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1861184780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 CASTOR AVE # 8201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-960-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 CASTOR AVE # 8201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-960-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLY ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-960-0174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Michael Phillips, MD
• Sara J Phillips
• Sarah Phillips
• Sheneiah Phillips
• Tara Mulvey Phillips, CRNP
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• Philly Family Life Counseling, LLC
• Philly Ifs Therapy, LLC

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.