=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891619995
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIND SET ABA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2026
-----------------------------------------------------
Last Update Date | 08/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1078 SUMMIT AVE STE 559
-----------------------------------------------------
City | JERSEY CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07307-3438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-275-6104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16730 LEE ST
-----------------------------------------------------
City | ORLAND PARK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60467-8709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-275-6104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MISS NOHA HASAN
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 708-275-6104
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------