Healthcare Provider Details

I. General information

NPI: 1093679607
Provider Name (Legal Business Name): ALL AROUND ABA NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 ROUTE 59 STE 259
AIRMONT NY
10952
US

IV. Provider business mailing address

227 W 4TH ST FL 1
CHARLOTTE NC
28202-1545
US

V. Phone/Fax

Practice location:
  • Phone: 312-722-6663
  • 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

VIII. Authorized Official

Name: MARK HERZKA
Title or Position: MANAGER
Credential:
Phone: 312-722-6663