Healthcare Provider Details

I. General information

NPI: 1417792482
Provider Name (Legal Business Name): ABOVE IT ALL ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 06/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SKILLMAN ST STE 213
BROOKLYN NY
11205-1549
US

IV. Provider business mailing address

463 FLUSHING AVE # 7A
BROOKLYN NY
11205-1679
US

V. Phone/Fax

Practice location:
  • Phone: 347-534-8640
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM EIGNER
Title or Position: MBR
Credential:
Phone: 929-373-4449