ABA Clinical Support Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA CLINICAL SUPPORT INC

Practice address

20541 SW 79TH CT
Cutler Bay, FL 33189-2184

Phone

(561) 305-1422

Fax

(561) 516-6538

NPI assigned

Nov 23, 2021

Last updated

Feb 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Diaz PandoNPI 1558805069

Title

Owner/Office Manager

Phone

(786) 991-3706

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Daniel Diaz Pando

  • Behavior Analyst
  • Cutler Bay, FL
  • NPI 1558805069
  NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676678400000",
    "number": "1982361085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "561-305-1422",
            "fax_number": "561-516-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "561-305-1422",
            "fax_number": "561-516-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CLINICAL SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ PANDO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "786-991-3706"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.