Healthcare Provider Details

I. General information

NPI: 1902742638
Provider Name (Legal Business Name): DC ABA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 BLAIR RD NW
WASHINGTON DC
20011-1448
US

IV. Provider business mailing address

1717 N ST NW STE 1
WASHINGTON DC
20036-2827
US

V. Phone/Fax

Practice location:
  • Phone: 202-929-6855
  • Fax:
Mailing address:
  • Phone: 202-929-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MIKEISHA BLACKMAN
Title or Position: CEO
Credential:
Phone: 202-929-6855