MEDICARE: AHEAD ABA CO L.L.C

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	:	1316897838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHEAD ABA CO L.L.C

Provider Business Mailing Address
First Line	:	1 GREEN HILL LN
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1608
Country	:	US
Telephone Number	:	929-884-1068
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 16TH ST STE 1460
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5326
Country	:	US
Telephone Number	:	929-884-1068
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JUDAH EDELSTEIN
Credential	:
Telephone Number	:	929-884-1068

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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