Healthcare Provider Details

I. General information

NPI: 1336033216
Provider Name (Legal Business Name): ABS SUPPORTIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 ALBRIGHT RD
KOKOMO IN
46902-3996
US

IV. Provider business mailing address

2701 ALBRIGHT RD
KOKOMO IN
46902-3996
US

V. Phone/Fax

Practice location:
  • Phone: 765-635-9582
  • Fax: 855-395-0876
Mailing address:
  • Phone: 765-635-9582
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER J. LANHAM
Title or Position: OWNER
Credential: BCBA-D, EDD
Phone: 317-658-4370