Active NPI
ABA Golden Steps MN LLC
- Behavior Analyst
- Roseville, MN
National Provider Identifier
1912662479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ABA GOLDEN STEPS MN LLC
- Practice address
- 2355 Highway 36 W Ste 400
Roseville, MN 55113-3905 - Phone
- (828) 351-4466
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yisroel Wolmark
- Title
- Ceo
- Phone
- (845) 596-5130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Mailing address
560 Sylvan Ave Ste 1110
Englewood Cliffs, NJ 07632-3118
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Albuquerque, NM
- NPI 1831862036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1912662479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 SYLVAN AVE STE 1110",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W STE 400",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "828-351-4466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA GOLDEN STEPS MN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "WOLMARK",
"authorized_official_first_name": "YISROEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-596-5130"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.