NPIMap

Organization Active NPI

Aba4Autism,LLC

  • Behavior Analyst
  • Haymarket, VA
National Provider Identifier
1891233763
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19329 Issued in NH
Legal business name
ABA4AUTISM,LLC
Practice address
15667 Ryder Cup Dr
Haymarket, VA 20169-6162
Phone
(603) 732-3415
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Perry Olson, BCBA
Title
Owner
Phone
(603) 732-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-15-19329 NH Primary

Addresses

Primary practice location

15667 Ryder Cup Dr
Haymarket, VA 20169-6162

Mailing address

5501 Merchants View SQ Ste 743
Haymarket, VA 20169-5439
Phone (603) 732-3415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1891233763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MERCHANTS VIEW SQ STE 743",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201695439",
            "telephone_number": "603-732-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15667 RYDER CUP DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696162",
            "telephone_number": "603-732-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA4AUTISM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-732-3415",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-15-19329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.