Organization Active NPI

Source of Success ABA, LLC

  • Behavior Analyst
  • New Rochelle, NY
National Provider Identifier
1972434462
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SOURCE OF SUCCESS ABA, LLC
Practice address
28 Cole Ter
New Rochelle, NY 10801-1504
Phone
(917) 226-0665
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Martha Iliana Diaz
Title
Ceo
Phone
(210) 606-8676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

28 Cole Ter
New Rochelle, NY 10801-1504

Mailing address

28 Cole Ter
New Rochelle, NY 10801-1504
Phone (917) 226-0665

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1972434462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COLE TER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011504",
            "telephone_number": "917-226-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 COLE TER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011504",
            "telephone_number": "917-226-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE OF SUCCESS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ILIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-606-8676"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.