PANTHEON ABA, LLC
NPI 1770219891
Behavior Analyst in Lake Charles, LA

NPI Status: Active since July 29, 2022

Contact Information

5154 GARLAND DR APT A
LAKE CHARLES, LA
ZIP 70605
Phone: (318) 554-8348

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  • Organization
  • Behavior Analyst
  • Accepts Insurance

About PANTHEON ABA, LLC

This page provides the complete NPI Profile along with additional information for Pantheon Aba, Llc, a provider established in Lake Charles, Louisiana operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1770219891 assigned on July 2022. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Maggie Marie Kurtzuba M.a., Lba, Bcba (Owner/director)

NPI
1770219891
Provider Name
PANTHEON ABA, LLC
Entity Type
Organization
Location Address
5154 GARLAND DR APT A LAKE CHARLES, LA 70605
Location Phone
(318) 554-8348
Mailing Address
5154 GARLAND DR APT 2 LAKE CHARLES, LA 70605
Mailing Phone
(318) 554-8348
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2022
Last Update Date
07-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAGGIE MARIE KURTZUBA M.A., LBA, BCBA

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(318) 554-8348

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770219891
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271404118818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 1 + 1 + 8 + 8 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1770219891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770219891, enumerated in the NPI registry as an "organization" on July 29, 2022

The provider is located at 5154 Garland Dr Apt A Lake Charles, La 70605 and the phone number is (318) 554-8348

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 29, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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