Healthcare Provider Details

I. General information

NPI: 1164314100
Provider Name (Legal Business Name): ABA MADE EASY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 SW 10TH ST STE 209
POMPANO BEACH FL
33069-4814
US

IV. Provider business mailing address

8910 MIRAMAR PKWY STE 200C PMB1300
MIRAMAR FL
33025-2478
US

V. Phone/Fax

Practice location:
  • Phone: 240-413-1249
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HARRY OFILI
Title or Position: OWNER
Credential:
Phone: 240-413-1249