Active NPI
ABA Grateful Care Az LLC
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1912777616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2024
- 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
- Reuven Levovitz
- Title
- Ceo
- Phone
- (917) 285-0113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.