NPIMap

Organization Active NPI

Kismet ABA LLC

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1912685082
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KISMET ABA LLC
Practice address
2140 Butler Ave Apt 504
Los Angeles, CA 90025-7150
Phone
(706) 224-8288
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Miss Melissa Corry, M.ED, BCBANPI 1104594977
Title
Co-Founder & Clinical Director
Phone
(706) 224-8288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2140 Butler Ave Apt 504
Los Angeles, CA 90025-7150

Mailing address

2140 Butler Ave Apt 504
Los Angeles, CA 90025-7150

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1912685082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BUTLER AVE APT 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 BUTLER AVE APT 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257150",
            "telephone_number": "706-224-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CO-FOUNDER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-224-8288",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.