Healthcare Provider Details
I. General information
NPI: 1154076131
Provider Name (Legal Business Name): ABA SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2022
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2685 ULMERTON RD
CLEARWATER FL
33762-5328
US
IV. Provider business mailing address
7441 114TH AVE STE 604
LARGO FL
33773-5124
US
V. Phone/Fax
- Phone: 727-492-5369
- Fax:
- Phone: 727-492-5369
- Fax: 727-544-5900
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
ENGELMAN
Title or Position: CO-OWNER
Credential:
Phone: 727-492-5369