Kids Club ABA VA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIDS CLUB ABA VA LLC

Doing business as

Kids Club ABA

Practice address

8000 Towers Crescent Dr FL 13
Vienna, VA 22182-6211

Phone

(404) 458-0809

Fax

(404) 834-5607

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moishe Bobker

Title

Ceo

Phone

(404) 458-0809

Specialties & licenses 1

Addresses

Other names 1

• Kids Club ABA Doing business as

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1942025978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805",
            "telephone_number": "404-458-0809",
            "fax_number": "404-834-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 TOWERS CRESCENT DR FL 13",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826211",
            "telephone_number": "404-458-0809",
            "fax_number": "404-834-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB ABA VA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-458-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Club ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Khouri, L. AC,
• Sabah A Khouri, LICENSED ACUPUNCTURI
• Samir Khouri, M.D
• Randa Rajai Khoury, M.D.
• Rania Khoury, DDS
• John Edward Kiefer III, D.V.M.
• Christina Kieffer, LCSW
• Josephine Kihiu
• Kristen Kilroy, PT,DPT
• Andrew Youngho Kim, DDS

• Behavior Analyst in Vienna, VA
• Providers in Vienna, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.