Infinite ABA Therapy Services, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INFINITE ABA THERAPY SERVICES, INC

Practice address

13030 Tampa Oaks Blvd Unit 3415
Temple Terrace, FL 33637-1948

Phone

(305) 200-7002

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Qiana Baker

Title

Owner

Phone

(305) 200-7002

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1972384717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 TAMPA OAKS BLVD UNIT 3415",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 TAMPA OAKS BLVD UNIT 3415",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371948",
            "telephone_number": "305-200-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE ABA THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "QIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-200-7002"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.