Healthcare Provider Details
I. General information
NPI: 1619829389
Provider Name (Legal Business Name): OPUS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 1ST AVE SE
ABERDEEN SD
57401-4707
US
IV. Provider business mailing address
36 RITA AVE
MONSEY NY
10952-2627
US
V. Phone/Fax
- Phone: 845-274-0716
- Fax:
- Phone: 845-274-0716
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
JAKUBOWICZ
Title or Position: MANAGING MEMBER
Credential:
Phone: 845-274-0716