Healthcare Provider Details

I. General information

NPI: 1083549091
Provider Name (Legal Business Name): LD ABA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 N LAUDERDALE AVE STE 300-K
NORTH LAUDERDALE FL
33068-2001
US

IV. Provider business mailing address

840 N LAUDERDALE AVE STE 300-K
NORTH LAUDERDALE FL
33068-2001
US

V. Phone/Fax

Practice location:
  • Phone: 786-630-4137
  • Fax:
Mailing address:
  • Phone: 786-630-4137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LUIGI DE FEO
Title or Position: OWNER
Credential:
Phone: 786-630-4137