Healthcare Provider Details

I. General information

NPI: 1104439041
Provider Name (Legal Business Name): ABA EFFECTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2020
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 MORIAH WOODS BLVD STE 7
MEMPHIS TN
38117-7123
US

IV. Provider business mailing address

1845 MORIAH WOODS BLVD STE 7
MEMPHIS TN
38117-7123
US

V. Phone/Fax

Practice location:
  • Phone: 901-310-4265
  • Fax: 901-284-2094
Mailing address:
  • Phone: 901-310-4265
  • Fax: 901-284-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARNETHIA MORGAN-BROWN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.ED., LBA. BCBA
Phone: 901-310-4265