ABA BY KDJ, INC. (NPI# 1104223197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104223197 |
| Entity Type | Organization |
| Organization Name | ABA BY KDJ, INC. |
| Practice Address |
326 9th Ave Ne Apt 1 St Petersburg FL 33701-1946 |
| Mailing Address |
Po Box 1356 St Petersburg FL 33731-1356 |
| Practice Telephone | 8138929222 |
| Mailing Telephone | 8138929222 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | KATELYN JOHNSON (OWNER) |
| Authorized Official Telephone | 8138929222 |
| Authorized Official Credential | M.S., BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
326 9TH AVE NE APT 1 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372490 | Westcare Gulfcoast Flroida Inc | Community/Behavioral Health | 1801 5th Ave N, St Petersburg, FL 33713-7109 | 2020-10-05 |
| 1215568985 | Imperial Livng Inc | Community/Behavioral Health | 2820 39th Ave N, St Petersburg, FL 33714-4524 | 2020-01-30 |
| 1033761713 | Harbor Behavioral Health Corporation | Community/Behavioral Health | 1700 50th St N, St Petersburg, FL 33710-5236 | 2019-07-12 |
| 1033582184 | Thomas D. Young, Lmhc | Community/Behavioral Health | 1432 Martin Luther King St N, St Petersburg, FL 33704-3302 | 2015-11-10 |
| 1942676812 | Integrated Roots Behavioral Therapy, LLC | Community/Behavioral Health | 1021 39th Ave Ne, St Petersburg, FL 33703-5223 | 2015-08-14 |
| 1740656925 | Randall Strouse | Community/Behavioral Health | 4032 Grove St S, St Petersburg, FL 33705-3848 | 2015-08-11 |
| 1083002703 | S.m.i.l.e. Psychology and Associates, LLC | Community/Behavioral Health | 3831 Tyrone Blvd N Ste 201e, St Petersburg, FL 33709-4114 | 2015-01-05 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1679865612 | Operation Par, Inc | Community/Behavioral Health | 1900 9th St S, St Petersburg, FL 33705-2650 | 2011-05-10 |
| 1124317698 | Tampa Bay Behavioral Health Centers LLC | Community/Behavioral Health | 1239 4th St S, St Petersburg, FL 33701-5223 | 2011-04-05 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.