Healthcare Provider Details

I. General information

NPI: 1780571810
Provider Name (Legal Business Name): ABA CONNECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 INTERNATIONAL DR STE 400
MEMPHIS TN
38120-1431
US

IV. Provider business mailing address

1661 INTERNATIONAL DR STE 400
MEMPHIS TN
38120-1431
US

V. Phone/Fax

Practice location:
  • Phone: 662-924-2686
  • Fax:
Mailing address:
  • Phone: 662-924-2686
  • 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 Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA HARRIS
Title or Position: OWNER
Credential:
Phone: 662-924-2686