=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437345147
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABA THERAPY ASSOCIATES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2007
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 4TH AVE S UNIT 306
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33701-4391
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-742-8697
-----------------------------------------------------
Fax | 800-981-5129
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 4TH AVE S UNIT 306
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33701-4391
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-742-8697
-----------------------------------------------------
Fax | 800-981-5129
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND DIRECTOR
-----------------------------------------------------
Name | LISA ABDALLA
-----------------------------------------------------
Credential | BCBA, RMHCI
-----------------------------------------------------
Telephone | 727-742-8697
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------