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NPI Code Detail

MEDICARE: SUNNY DAY ABA LLC

MEDICARE: SUNNY DAY ABA 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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1154186880
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNY DAY ABA LLC
Provider Business Mailing Address
First Line : 316 RIDGELY ST
Second Line :
City : LARGO
State : MD
Zip : 20774-1929
Country : US
Telephone Number : 301-254-3354
Fax Number :
Provider Business Practice Location Address
First Line : 316 RIDGELY ST
Second Line :
City : LARGO
State : MD
Zip : 20774-1929
Country : US
Telephone Number : 301-254-3354
Fax Number :
Authorized Official
Title or Position : CEO
Name : SHANTEL FARRAR
Credential : BCBA
Telephone Number : 301-254-3354
Provider Enumeration Date : 02/21/2024
Last Update Date : 01/23/2026

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Directions to “SUNNY DAY ABA LLC ” Practice Location

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