MEDICARE: CASA ABA THERAPY, 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	:	1053161000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASA ABA THERAPY, LLC

Provider Business Mailing Address
First Line	:	27370 6TH ST
Second Line	:
City	:	HIGHLAND
State	:	CA
Zip	:	92346-4302
Country	:	US
Telephone Number	:	909-244-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	27370 6TH ST
Second Line	:
City	:	HIGHLAND
State	:	CA
Zip	:	92346-4302
Country	:	US
Telephone Number	:	909-244-8550
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	ALMA CERRATO-LOPEZ
Credential	:
Telephone Number	:	909-244-8550

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	11/18/2025

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