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NPI Code Detail

MEDICARE: ALL ABOUT ABA CO LLC

MEDICARE: ALL ABOUT ABA CO 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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1912747866
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL ABOUT ABA CO LLC
Provider Business Mailing Address
First Line : 1187 LAKEWOOD FARMINGDALE RD
Second Line :
City : HOWELL
State : NJ
Zip : 07731-8689
Country : US
Telephone Number : 844-525-5226
Fax Number : 844-745-5225
Provider Business Practice Location Address
First Line : 1905 N SHERMAN ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80203-1132
Country : US
Telephone Number : 844-525-5226
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DAVID KNOLL
Credential :
Telephone Number : 347-564-3283
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ALL ABOUT ABA CO LLC ” Practice Location

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