=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194612499
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURNKEY ABA THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2025
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6531 DYKES WAY
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75230-1929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-838-7938
-----------------------------------------------------
Fax | 945-523-0453
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 535 50TH AVE APT 2R
-----------------------------------------------------
City | LONG ISLAND CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11101-5767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-838-7938
-----------------------------------------------------
Fax | 945-523-0453
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DAVID COHEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-838-7938
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------