MEDICARE: ABA NEW DAWN MO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1013734482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA NEW DAWN MO LLC

Provider Business Mailing Address
First Line	:	1701 TROOST AVE # 1198
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1540
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 TROOST AVE # 1198
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1540
Country	:	US
Telephone Number	:	347-975-8525
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MORDECHAI LEVOVITZ
Credential	:
Telephone Number	:	347-975-8525

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	06/27/2025

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