Healthcare Provider Details

I. General information

NPI: 1619857588
Provider Name (Legal Business Name): COMMIT TO CHANGE ABA THERAPY AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 TRAIL RIDGE RD
BROOKINGS SD
57006-4175
US

IV. Provider business mailing address

1303 TRAIL RIDGE RD
BROOKINGS SD
57006-4175
US

V. Phone/Fax

Practice location:
  • Phone: 605-681-6211
  • Fax: 605-273-7804
Mailing address:
  • Phone: 605-681-6211
  • Fax: 605-273-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HEATHER A ASMUSSEN
Title or Position: BEHAVIOR ANALYST
Credential: BCBA
Phone: 605-681-6211