Organization Active NPI

Gifted Minds ABA Program LLC.

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1982287090
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GIFTED MINDS ABA PROGRAM LLC.
Practice address
6363 Grover St TRLR 33
Omaha, NE 68106-4318
Phone
(956) 320-3716
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Mr. Steven Jay Remmenga
Title
Owner/Ceo
Phone
(956) 320-3716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6363 Grover St TRLR 33
Omaha, NE 68106-4318

Mailing address

6363 Grover St TRLR 33
Omaha, NE 68106-4318
Phone (956) 320-3716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1982287090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 GROVER ST TRLR 33",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681064318",
            "telephone_number": "956-320-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 GROVER ST TRLR 33",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681064318",
            "telephone_number": "956-320-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED MINDS ABA PROGRAM LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "REMMENGA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "956-320-3716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.