CMS-1500 Box 24J / 33a • NPI
1619740263
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
1420 SIMPSON RD, KISSIMMEE, FL, 34744-4600
✓ 9-Digit EDI 837 ZIP+4 (34744-4600)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619740263 (ABA ACADEMY CORP.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1619740263 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ABA ACADEMY CORP. |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1420 SIMPSON RD, KISSIMMEE, FL, 34744-4600 |
| Practice Telephone / Fax | Tel: (321) 947-9220 |
| Administrative Mailing Address | 2825 WAGON WHEEL TRL, SAINT CLOUD, FL, 34772-8985 |
| Enumeration & Last Sync | Enumerated: 2023-11-06 | CMS Record Updated: 2023-11-06 |
| Authorized Official | GINA LOPEZ (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABA ACADEMY CORP.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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