Healthcare Provider Details

I. General information

NPI: 1376475319
Provider Name (Legal Business Name): GOLD STANDARD ABA DE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PENNSYLVANIA AVE STE 105
WILMINGTON DE
19806-4125
US

IV. Provider business mailing address

1401 PENNSYLVANIA AVE STE 105
WILMINGTON DE
19806-4125
US

V. Phone/Fax

Practice location:
  • Phone: 718-427-9168
  • Fax: 646-693-3193
Mailing address:
  • Phone: 718-427-9168
  • Fax: 646-693-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: STEVEN HAIM
Title or Position: OWNER
Credential:
Phone: 718-427-9168