Village ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

VILLAGE ABA THERAPY LLC

Practice address

743 E Tennessee St
Tallahassee, FL 32308-4913

Phone

(727) 421-6015

NPI assigned

Apr 28, 2023

Last updated

Jul 31, 2023By 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

Jessica Camacho, BCBANPI 1144692153

Title

Clinical Supervisor

Phone

(786) 897-4418

Specialties & licenses 1

Addresses

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.

• Jessica Camacho

  • Behavior Analyst
  • Tallahassee, FL
  • NPI 1144692153
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1952099608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084913",
            "telephone_number": "727-421-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084913",
            "telephone_number": "727-421-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "786-897-4418",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorious People, LLC
• Elyoenai Vidal Rojas, CARE COACH
• Elenora Vidal-Pascal
• Emma Vieira, RD
• Miranda N Vila
• Adriana Isabel Villalobos Vasquez
• Ana Maria Villar, LCSW
• Melvis Villar, M.D
• Antonia Monae Vincent
• Marielle Vincent, RPH

• Behavior Analyst in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.