Healthcare Provider Details

I. General information

NPI: 1326573023
Provider Name (Legal Business Name): NEW DAY ABA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 EYRIE DR SUITE 1A
OVIEDO FL
32765-8602
US

IV. Provider business mailing address

815 EYRIE DR SUITE 1A
OVIEDO FL
32765-8602
US

V. Phone/Fax

Practice location:
  • Phone: 321-662-7422
  • Fax: 844-220-9322
Mailing address:
  • Phone: 321-662-7422
  • Fax: 844-220-9322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: WENDY LEOPOLD
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 321-662-7422