Healthcare Provider Details

I. General information

NPI: 1023773538
Provider Name (Legal Business Name): ALL ABOUT ABA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 ORANGEWOOD DR
DUNEDIN FL
34698-7930
US

IV. Provider business mailing address

552 ORANGEWOOD DR
DUNEDIN FL
34698-7930
US

V. Phone/Fax

Practice location:
  • Phone: 813-388-8188
  • Fax: 833-619-1088
Mailing address:
  • Phone: 813-388-8188
  • Fax: 833-619-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: LESLIE SELINA BENNETT
Title or Position: FOUNDER
Credential: BCBA
Phone: 813-388-8188