=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336065887
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABACUS EARLY INTERVENTION SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2026
-----------------------------------------------------
Last Update Date | 06/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21 SARAZEN DR UNIT 102
-----------------------------------------------------
City | CLAYTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27527-5820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-508-4183
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3064 WAKE FOREST RD # 1128
-----------------------------------------------------
City | RALEIGH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27609-7844
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-508-4183
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | RICHARD CROSS
-----------------------------------------------------
Credential | BCBA, LBA
-----------------------------------------------------
Telephone | 973-508-4183
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------