Healthcare Provider Details
I. General information
NPI: 1649945544
Provider Name (Legal Business Name): ABA SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 W WATERS AVE
TAMPA FL
33604-2901
US
IV. Provider business mailing address
7777 131ST ST STE 7
SEMINOLE FL
33776-4015
US
V. Phone/Fax
- Phone: 727-492-5369
- Fax:
- Phone: 727-492-5369
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
ENGELMAN
Title or Position: CO-OWNER
Credential:
Phone: 727-492-5369