Pediatric ABA 1 Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEDIATRIC ABA 1 INC

Practice address

1901 Harrison St Ste 203
Hollywood, FL 33020-5180

Phone

(786) 597-2047

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Wandy Caceres, ABABA

Title

Ceo

Phone

(786) 597-2047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1902394539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HARRISON ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205180",
            "telephone_number": "786-597-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HARRISON ST STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205180",
            "telephone_number": "786-597-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ABA 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "WANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-597-2047",
        "authorized_official_credential": "ABABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.