Healthcare Provider Details
I. General information
NPI: 1487566394
Provider Name (Legal Business Name): OVERCOMING OBSTACLES ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5851 SARATOGA DR
CRESTVIEW FL
32536-4309
US
IV. Provider business mailing address
5851 SARATOGA DR
CRESTVIEW FL
32536-4309
US
V. Phone/Fax
- Phone: 740-466-2112
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
MCCLASKEY
Title or Position: OWNER/BCBA
Credential: BCBA
Phone: 740-466-2112