Healthcare Provider Details
I. General information
NPI: 1760396097
Provider Name (Legal Business Name): ARBOR ABA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
171 N ALTADENA DR STE 255
PASADENA CA
91107-7352
US
IV. Provider business mailing address
171 N ALTADENA DR STE 255
PASADENA CA
91107-7352
US
V. Phone/Fax
- Phone: 626-608-6201
- Fax: 626-608-1376
- Phone: 626-608-6201
- Fax: 626-608-1376
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MICHAEL
STEPANIAN
Title or Position: CEO
Credential:
Phone: 626-804-0374