NPIMap

Organization Active NPI

Prestige ABA Services LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1912578261
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRESTIGE ABA SERVICES LLC
Practice address
2100 W 76TH St Ste 211
Hialeah, FL 33016-5503
Phone
(786) 317-0100
Fax
(786) 490-2838
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Mairelys Concepcion, RBT-20-124181
Title
Owner
Phone
(786) 317-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2100 W 76TH St Ste 211
Hialeah, FL 33016-5503

Mailing address

714 McArthur Ave
Lehigh Acres, FL 33936-1214
Phone (786) 317-0100

National Provider Directory

National Provider Directory
Tax ID family
Prestige ABA Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1912578261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MCARTHUR AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361214",
            "telephone_number": "786-317-0100",
            "fax_number": "786-490-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST STE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165503",
            "telephone_number": "786-317-0100",
            "fax_number": "786-490-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "MAIRELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-317-0100",
        "authorized_official_credential": "RBT-20-124181"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.