MEDICARE: QUAD ABA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1720913197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAD ABA, LLC

Provider Business Mailing Address
First Line	:	15 WHEELER ST
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2544
Country	:	US
Telephone Number	:	203-709-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 WHEELER ST
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-2544
Country	:	US
Telephone Number	:	203-709-1265
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. HEATHER LAURA QUADRATO
Credential	:	M.ED., BCBA, LBA
Telephone Number	:	203-709-1265

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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