MEDICARE: ABA CONNECT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	261QA0600X	Adult Day Care Clinic/Center
3	2355S0801X	Speech-Language Assistant
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1780571810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA CONNECT LLC

Provider Business Mailing Address
First Line	:	1661 INTERNATIONAL DR STE 400
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-1431
Country	:	US
Telephone Number	:	662-924-2686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1661 INTERNATIONAL DR STE 400
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-1431
Country	:	US
Telephone Number	:	662-924-2686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRISCILLA HARRIS
Credential	:
Telephone Number	:	662-924-2686

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	12/03/2025

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Directions to “ABA CONNECT LLC ” Practice Location

Language	Start Address	Practice Location

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