Healthcare Provider Details

I. General information

NPI: 1346909868
Provider Name (Legal Business Name): ABA CHILDREN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 S WILMINGTON ST STE 133
RALEIGH NC
27601-1847
US

IV. Provider business mailing address

1820 AVENUE M STE 225
BROOKLYN NY
11230-5347
US

V. Phone/Fax

Practice location:
  • Phone: 516-376-2055
  • Fax: 800-874-0959
Mailing address:
  • Phone: 888-788-0077
  • Fax: 800-874-0959

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
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL LEVENSON
Title or Position: OWNER
Credential:
Phone: 917-476-4694