Healthcare Provider Details

I. General information

NPI: 1922882794
Provider Name (Legal Business Name): ALL ABOUT ABA NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 W SUGAR CREEK RD STE 202
CHARLOTTE NC
28213-6102
US

IV. Provider business mailing address

1187 LAKEWOOD FARMINGDALE RD
HOWELL NJ
07731-8689
US

V. Phone/Fax

Practice location:
  • Phone: 844-525-5226
  • Fax: 844-745-5225
Mailing address:
  • Phone: 844-525-5226
  • Fax: 844-745-5225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID KNOLL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 347-564-3283