Healthcare Provider Details

I. General information

NPI: 1912719501
Provider Name (Legal Business Name): ABA CENTERS OF WASHINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20816 44TH AVE W STE 103
LYNNWOOD WA
98036-7744
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 877-401-0331
  • Fax:
Mailing address:
  • Phone: 561-323-6582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLEY ESQUIVEL
Title or Position: VP OF OPERATIONS
Credential:
Phone: 728-223-1535