Healthcare Provider Details
I. General information
NPI: 1275337123
Provider Name (Legal Business Name): ABA HEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2025
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1441 E DOWNING ST
SPRINGFIELD MO
65804-3218
US
IV. Provider business mailing address
1441 E DOWNING ST
SPRINGFIELD MO
65804-3218
US
V. Phone/Fax
- Phone: 417-241-6699
- Fax: 855-910-0828
- Phone: 417-241-6699
- Fax: 855-910-0828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIELLE
NICOLE
DIGNAN
Title or Position: FOUNDER/CEO
Credential: MA, BCBA, LBA
Phone: 417-241-6699