Organization Active NPI

ABA Dynamic Learning LLC

  • Behavior Analyst
  • Palm Bay, FL
National Provider Identifier
1972455756
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA DYNAMIC LEARNING LLC
Practice address
1501 Robert J Conlan Blvd NE Ste 120-10
Palm Bay, FL 32905-3502
Phone
(561) 497-5612
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Samuel Hernandez Carmenate, BCBANPI 1821873803
Title
Ceo
Phone
(321) 361-8613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE Ste 120-10
Palm Bay, FL 32905-3502

Mailing address

1501 Robert J Conlan Blvd NE Ste 120-10
Palm Bay, FL 32905-3502
Phone (561) 497-5612

National Provider Directory

National Provider Directory

Locations

1501 Robert J Conlan Blvd NE
Ste 12010
Palm Bay, FL 32905
Phone (321) 361-8613

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": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1972455756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 120-10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "561-497-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 120-10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "561-497-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA DYNAMIC LEARNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ CARMENATE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-361-8613",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.