ABA Magical Moments Az LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA MAGICAL MOMENTS AZ LLC

Practice address

15150 W Park PL FL 2
Goodyear, AZ 85395-2385

Phone

(928) 224-2610

NPI assigned

Oct 17, 2023

Last updated

May 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Klein

Title

Owner

Phone

(317) 648-9509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1881476646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TICE BLVD STE 165",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 W PARK PL FL 2",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952385",
            "telephone_number": "928-224-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 E Bell Rd Ste 3002",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322727",
            "country_code": "US",
            "telephone_number": "317-648-9509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABA MAGICAL MOMENTS AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-648-9509"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.