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NPI Code Detail

MEDICARE: EXCEL ABA, LLC

MEDICARE: EXCEL 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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst0024KY

General Provider Information

NPI Number : 1174946529
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL ABA, LLC
Provider Business Mailing Address
First Line : 116 BAYVIEW DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-7511
Country : US
Telephone Number : 859-575-4442
Fax Number : 859-957-1890
Provider Business Practice Location Address
First Line : 116 BAYVIEW DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-7511
Country : US
Telephone Number : 859-248-0621
Fax Number : 859-957-1890
Authorized Official
Title or Position : MEMBER
Name : LUNA MORIAH MIA WEISS-SALINAS
Credential :
Telephone Number : 859-248-0621
Provider Enumeration Date : 01/21/2014
Last Update Date : 02/25/2026

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Directions to “EXCEL ABA, LLC ” Practice Location

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