Healthcare Provider Details

I. General information

NPI: 1962359539
Provider Name (Legal Business Name): ACCLIMATE ABA MS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 LELIA DR STE 405
JACKSON MS
39216-4828
US

IV. Provider business mailing address

381 SUNRISE HWY STE 300
LYNBROOK NY
11563-3025
US

V. Phone/Fax

Practice location:
  • Phone: 801-843-5882
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MARK KIFFEL
Title or Position: DIRECTOR
Credential:
Phone: 845-826-2903