Healthcare Provider Details

I. General information

NPI: 1154875888
Provider Name (Legal Business Name): ABA THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 CHURCHILL-HUBBARD RD
YOUNGSTOWN OH
44505
US

IV. Provider business mailing address

136 TRADEWINDS RD.
NEW CASTLE PA
16102
US

V. Phone/Fax

Practice location:
  • Phone: 724-944-3620
  • Fax: 724-965-1475
Mailing address:
  • Phone: 724-944-3620
  • Fax: 724-965-1475

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 NumberBH000521
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCOBA 195
License Number StateOH

VIII. Authorized Official

Name: MRS. ASHLEY MARIE OVERTON
Title or Position: CHIEF CLINICAL OPERATOR
Credential: M.ED, BCBA, LBS,COBA
Phone: 724-944-3620