Healthcare Provider Details

I. General information

NPI: 1710805296
Provider Name (Legal Business Name): A BIG HEART ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ROYAL CREST DR APT 1
NORTH ANDOVER MA
01845-6465
US

IV. Provider business mailing address

22 ROYAL CREST DR APT 1
NORTH ANDOVER MA
01845-6465
US

V. Phone/Fax

Practice location:
  • Phone: 978-885-2917
  • Fax:
Mailing address:
  • Phone: 978-885-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ESMERALDA RAQUEL ORTIZ
Title or Position: CLINICAL DIRECTOR & OWNER
Credential: BCBA, LBA-MA
Phone: 978-885-2917