Active NPI
Supreme ABA Solutions LLC
- Behavior Analyst
- Pembroke Pines, FL
National Provider Identifier
1932919826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SUPREME ABA SOLUTIONS LLC
- Practice address
- 2055 NW 77TH Ter
Pembroke Pines, FL 33024-0926 - Phone
- (954) 549-7479
- NPI assigned
- Jan 13, 2025
- Last updated
- Apr 1, 2026
- 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
- Mr. Darius Izel Tice, BCBA
- Title
- Behavior Analyst
- Phone
- (954) 549-7479
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2055 NW 77TH Ter
Pembroke Pines, FL 33024-0926
Mailing address
2055 NW 77TH Ter
Pembroke Pines, FL 33024-0926
Phone (954) 549-7479
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
- Pembroke Pines, FL
- NPI 1902414774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775001600000",
"number": "1932919826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NW 77TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330240926",
"telephone_number": "954-549-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NW 77TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330240926",
"telephone_number": "954-549-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME ABA SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A",
"authorized_official_last_name": "TICE",
"authorized_official_first_name": "DARIUS",
"authorized_official_middle_name": "IZEL",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "954-549-7479",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "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 Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.