ABA Creative Therapy Corp

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

ABA CREATIVE THERAPY CORP

Practice address

8040 NW 155TH St Ste 202
Miami Lakes, FL 33016-5880

Phone

(561) 809-3716

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Allan Lopez Perez

Title

Ceo

Phone

(561) 809-3716

Specialties & licenses 1

Addresses

Other names 1

• ABA Creative Therapy Corp Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Lopez

  • Case Manager/Care Coordinator
  • Hialeah Gardens, FL
  • NPI 1558894592
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1861189458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "561-809-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CREATIVE THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ PEREZ",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-809-3716"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Creative Therapy Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Miami Lakes, FL
• Developmental - Behavioral Pediatrics Physician in Florida

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