Black Hills ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLACK HILLS ABA, LLC

Practice address

24204 SE 263Rd PL
Maple Valley, WA 98038-7109

Phone

(425) 221-9260

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By 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

Monika Haffner, LBA, BCBANPI 1124499819

Title

Owner

Phone

(425) 221-9260

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Monika Haffner, M.S., LBA, ABA, BCBA

  • Behavior Analyst
  • Maple Valley, WA
  • NPI 1124499819
  NPD Authorized official
• Jordan Haffner

  • Behavior Technician
  • Maple Valley, WA
  • NPI 1548805229
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1972199289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24204 SE 263RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387109",
            "telephone_number": "425-221-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24204 SE 263RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387109",
            "telephone_number": "425-221-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "HAFFNER",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-221-9260",
        "authorized_official_credential": "LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior Analysis Consulting Services LLC
• Kimiya Behzadian, DMD
• Julia Mudarisovna Bell, ARNP
• Scott W Bennion, OD
• Karis Corin Bjerke, CDP
• Blue River Counseling, LLC
• Kathleen Gayle Tabaquin Boado, NP
• Amanda Ann Bobgan, C.B.D
• Resa Bolton, PT
• Brandy Oto Counseling (Thrive Wellness Clinic)

• Behavior Analyst in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.