Healthcare Provider Details
I. General information
NPI: 1417886508
Provider Name (Legal Business Name): SPLENDID ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9707 SILVER FALLS LN
SHAFTER CA
93263-2260
US
IV. Provider business mailing address
9707 SILVER FALLS LN
SHAFTER CA
93263-2260
US
V. Phone/Fax
- Phone: 661-390-6366
- Fax:
- Phone: 661-390-6366
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LUIS
ENRIQUE
ARAUJO
Title or Position: OWNER
Credential: BCBA
Phone: 661-390-6366