Mindful ABA Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MINDFUL ABA THERAPY, LLC

Practice address

1108 E Main St
Richmond, VA 23219-3539

Phone

(978) 996-1268

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Lois Fornah

Title

Owner

Phone

(978) 996-1268

Specialties & licenses 1

Addresses

Other names 1

• Mindful ABA Therapy Doing business as

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1952018707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193539",
            "telephone_number": "978-996-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "FORNAH",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-996-1268"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Richmond, VA
• Providers in Richmond, 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 1, 2022; 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.