CLEMENTINE KANSAS ABA LLC - NPI 1093663114 - Behavior Analyst in Wichita, KS

Q: What is Clementine Kansas Aba LLC's NPI number?

The NPI number for Clementine Kansas Aba LLC is 1093663114. It was assigned to this organization in the NPPES registry on March 17, 2026.

Q: What is Clementine Kansas Aba LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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About Clementine Kansas Aba Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINE KANSAS ABA LLC (NPI 1093663114) is a healthcare organization registered as a behavior analyst in Wichita, Kansas and active in the NPI registry since March 2026. The organization lists Aharon Gerson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1093663114

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameCLEMENTINE KANSAS ABA LLC

Location Address801 E DOUGLAS AVE FL 2Wichita, KS 67202-3548

Mailing Address801 E Douglas Ave Fl 2Wichita, KS 67202-3548

Phone(888) 603-2563

Organization SubpartNo

Authorized OfficialAharon GersonChief Financial Officer · (516) 510-5074

Enumeration DateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1093663114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

801 E DOUGLAS AVE FL 2, Wichita, KS 67202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORM ASSOCIATES, P.A.

Internal Medicine (Endocrinology, Diabetes & Metabolism)