Healthcare Provider Details
I. General information
NPI: 1336070671
Provider Name (Legal Business Name): THE ABA SPOT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
709 BUSINESS WAY STE 120
WYLIE TX
75098-3961
US
IV. Provider business mailing address
PO BOX 1001
WYLIE TX
75098-3034
US
V. Phone/Fax
- Phone: 972-800-4466
- Fax: 214-377-4244
- Phone: 972-800-4466
- Fax: 214-377-4244
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:
MELISSA
UPSHAW
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-800-4466