Healthcare Provider Details

I. General information

NPI: 1104532894
Provider Name (Legal Business Name): HAPPY HEARTS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8888 KEYSTONE XING STE 1300
INDIANAPOLIS IN
46240-4600
US

IV. Provider business mailing address

180 PHILLIPS HILL RD STE 3-B
NEW CITY NY
10956-4132
US

V. Phone/Fax

Practice location:
  • Phone: 317-676-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MS. LISA HOLLAND
Title or Position: STATE DIRECTOR
Credential:
Phone: 317-676-4700