Organization Active NPI

ABA Grateful Care Az LLC

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1912777616
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA GRATEFUL CARE AZ LLC
Practice address
929 N Val Vista Dr Ste 109929 N Val Vista Dr
Ste 109
Gilbert, AZ 85234
Phone
(317) 572-5315
Fax
(317) 588-1693
NPI assigned
Jan 3, 2024
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Reuven Levovitz
Title
Ceo
Phone
(917) 285-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

929 N Val Vista Dr Ste 109929 N Val Vista Dr
Ste 109
Gilbert, AZ 85234

Mailing address

929 N Val Vista Dr
Ste 109
Gilbert, AZ 85234
Phone (317) 572-5315

National Provider Directory

National Provider Directory

Locations

929 N Val Vista Dr
Ste 109929
Gilbert, AZ 85234

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1912777616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N VAL VISTA DR",
            "address_2": "STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "317-572-5315",
            "fax_number": "317-588-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N VAL VISTA DR STE 109929 N VAL VISTA DR",
            "address_2": "STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "317-572-5315",
            "fax_number": "317-588-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA GRATEFUL CARE AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "LEVOVITZ",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-285-0113"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.