NPIMap

Organization Active NPI

Applied Behavioral Services Dayton LLC

  • Behavior Analyst
  • Miamisburg, OH
National Provider Identifier
1972847564
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
APPLIED BEHAVIORAL SERVICES DAYTON LLC
Practice address
2570 Technical Dr
Miamisburg, OH 45342-6107
Phone
(937) 847-8750
Fax
(937) 847-8753
NPI assigned
Nov 20, 2012
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Deena Stein Greenblatt
Title
Payer Enrollment & Contracting
Phone
(609) 525-4271

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2570 Technical Dr
Miamisburg, OH 45342-6107

Mailing address

2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (609) 525-4271

Other identifiers 1

IdentifierTypeStateIssuer
0334817MedicaidOH

National Provider Directory

National Provider Directory

Locations

2 Village Sq
Ste 2
Baltimore, MD 21210

2570 Technical Dr
Miamisburg, OH 45342
Phone (937) 847-8750

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1972847564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "609-525-4271",
            "fax_number": "937-847-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 TECHNICAL DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426107",
            "telephone_number": "937-847-8750",
            "fax_number": "937-847-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL SERVICES DAYTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "GREENBLATT",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "STEIN",
        "authorized_official_title_or_position": "PAYER ENROLLMENT & CONTRACTING",
        "authorized_official_telephone_number": "609-525-4271"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.