NPI 1174029201 · live from the CMS NPI Registry
Aba Connection, LLC
Behavior Analyst in Saint Augustine, FL. National Provider Identifier 1174029201, active.
NPI record
| NPI | 1174029201 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 175 Cumberland Park Dr Ste 100, Saint Augustine, FL 32095 |
| Practice phone | 904-201-9129 |
| Mailing address | 23 Sol Ct, St Augustine, FL 32095 |
| Enumerated | April 5, 2018 |
| Last updated | April 25, 2025 |
| Authorized official | Joshua Stayton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| In Home Supportive Care | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.