Organization Active NPI

Alba Therapy Services LLC

  • Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1891407177
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ALBA THERAPY SERVICES LLC
Practice address
521 Peerless Cir
Lehigh Acres, FL 33974-9493
Phone
(727) 314-2808
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dairy Alfonso Martinez
Title
Lead Analyst
Phone
(727) 314-2808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

521 Peerless Cir
Lehigh Acres, FL 33974-9493

Mailing address

521 Peerless Cir
Lehigh Acres, FL 33974-9493

Other identifiers 1

IdentifierTypeStateIssuer
115016500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1891407177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PEERLESS CIR",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339749493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PEERLESS CIR",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339749493",
            "telephone_number": "727-314-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "ALFONSO MARTINEZ",
        "authorized_official_first_name": "DAIRY",
        "authorized_official_title_or_position": "LEAD ANALYST",
        "authorized_official_telephone_number": "727-314-2808"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115016500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.